الفهرس 
Essex-Lopresti classificationOnly 14 pages are availabe for public view
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Abstract
Background: Displaced intra-articular calcaneus fractures (DIACFs) are the most common type of calcaneus fractures. Especially when falling from a height. The optimal treatment of DIACFs remains controversial, and whether to choose an operative or non-operative treatment is still a debate. Furthermore, the differences in therapeutic effectiveness between cannulated screw fixation and plate fixation are still unclear. Thus, in this systematic review, we evaluated the therapeutic effectiveness of these two fixation methods.
Objective: A systematic review of literature to compare the outcomes of cannulated screws fixation versus plate fixation for displaced intra articular calcaneus fracture.
Data Sources: Medical and scientific databases (PubMed, Cochrane library and Google Scholar) and all materials available on the Internet till 2020
Data Extraction: If the studies did not fulfill the inclusion criteria, they were excluded. Modified a data collection form of (Cochrane Developmental Psychosocial and Learning Problems) to suit our review elements.
Conclusion: There is no significant difference in fixation effectiveness between calcaneal plate and cannulated screws in the treatment of displaced intra-articular calcaneus fractures. Cannulated screw fixation has the upper hand to plate fixation in terms of low rate of complications. All the seven studies debated the advantage of each technique from the functional outcomes point of view. However, further studies are needed to end this debate. Eventually, we recommend cannulated screw fixation over the plate in fixation of (DIACF) type II or III in Sander’s classification, in spite of having similar fixation efficacy and almost similar functional outcomes, but the cannulated screw showed significantly lower rates of surgical wound complications, which gave it the advantage.