Tratamento cirúrgico de fraturas intra-articulares de calcaneo sanders II e III: revis？o sistemática

objective: this paper's aim is to compare and figure out what is the most effective surgical technique for sanders ii and iii intrarticular fractures. methods: clinical comparative randomized clinical trial on surgical treatment of the intrarticular fractures of the calcaneus (sanders types ii and iii) were evaluated by questionnaire of the american orthopaedic foot and ankle society. the identification and search of the studies used the following databases - lilacs, medline/pubmed, cochrane library, scielo, embase, science direct, scopus, journals@ovid, isi web of knowledge, evidence based medicine. references of studies accessed were also consulted. the keywords used boolean logic (and and or): "calcaneus fracture, calcaneous, calcaneal; surgical treatment, management; open reduction, minimally invasive, percutaneous reduction; internal fixation, external fixation. results: we identified just three randomized comparative studies. each study compared a different technique (external fixation, percutaneous fixation with kirchner wires and cannulated screws fixation) to the open reduction with internal fixation using plate and screws (named standard technique). conclusion: comparing the series, percutaneous fixation using kirschner wires achieved the best results, however we will need more data in order to conclude what is the most effective surgical technique.