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ORIGINAL RESEARCH article

Front. Surg.

Sec. Orthopedic Surgery

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1676761

Analysis of the clinical efficacy of "dynamic hook technique" combined with the Allgower-Donati suture method in the surgical incision for calcaneal fractures

Provisionally accepted
Bo  LiuBo Liu1*Long  MaLong Ma2Dawei  XiaoDawei Xiao3Cheng  ChenCheng Chen2Hui  ZengHui Zeng2Honghai  WangHonghai Wang2Bowen  ZhangBowen Zhang2Gangqiang  WuGangqiang Wu2*Haiyang  YuHaiyang Yu1*
  • 1Affiliated Fuyang People’s Hospital of Anhui Medical University, Fuyang, China
  • 2No 2 People's Hospital of Fuyang City, Fuyang, China
  • 3Cancer Hospital of Fuyang City, Fuyang, China

The final, formatted version of the article will be published soon.

Objectives: To analyze the clinical outcomes of "dynamic hook technique" combined with the Allgöwer-Donati suture technique in reducing incisional complications and Incisional pain after calcaneal fracture surgery. Methods: Totally, 93 patients with calcaneal fractures who underwent open reduction and internal fixation were included and divided into control and observation groups. In the observation group, the flap was elevated using the "dynamic hook technique", while in the control group, the flap was elevated using the static Kirschner needle lifting technique. The flap in the two groups were sutured using the Allgöwer-Donati sutures. Postoperative complications, including tension blisters surrounding the incision, necrosis of the incision flap, and the steel plate exposure were analyzed. The Visual Analog Scale (VAS) was utilized to assess postoperative incision pain at 3 days, 1 and 2 weeks post-surgery. All patients were followed up for a duration of 3 to 6 months, with suture removal occurring 2 to 3 weeks postoperatively. Results: The incidence of complications was significantly lower in the observation group than the the control group (4.5% vs. 18.4%, P < 0.05). The patients in the observation group had significantly lower VAS pain scores at each time point after surgery when compared to the control group (P < 0.05). Conclusion: The combination of the "dynamic hook technique" and the Allgöwer-Donati suture is effective in preventing incisional complications and alleviating postoperative pain after open reduction and internal fixation for calcaneal fractures.

Keywords: Calcaneal fracture, hook, dynamic hook technique, Allgöwer-Donati suture, complications, Postoperative pain

Received: 31 Jul 2025; Accepted: 20 Oct 2025.

Copyright: © 2025 Liu, Ma, Xiao, Chen, Zeng, Wang, Zhang, Wu and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Bo Liu, 18010998811@163.com
Gangqiang Wu, wuggfyey@163.com
Haiyang Yu, fy.yhy@163.com

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