A Rare Complication of Calcaneal Fracture – Calcaneal Non-Union. Case Report

Sherehii, A.A.; Стойка, Василь Володимирович; Lytvak, V.V.

doi:10.36740/wlek202104143

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…However, several previous studies have stated that for intraarticular calcaneal fractures, anatomical correction is better by using operative management than non-operative management because of better functional outcome [5] , shorter absence from work [7] , and restored to a normal range motion [1] , [18] . In contrast, studies reported that operative management increased infection risk5, and it can also be a non-union [19] , even though it is a rare complication.…”

Section: Discussionmentioning

confidence: 98%

Plating technique outcome evaluation in calcaneal fracture based on American orthopaedics foot and ankle score and Böhler-Gissane angle: A case series

Pradana

Mustamsir

Breilyan

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 98%

Plating technique outcome evaluation in calcaneal fracture based on American orthopaedics foot and ankle score and Böhler-Gissane angle: A case series

Pradana

Mustamsir

Breilyan

et al. 2022

International Journal of Surgery Case Reports

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“…Physically fit and active males are the most vulnerable to calcaneal fractures [1]. According to Essex-Lopresti, 75-92% of calcaneal fractures involve a fracture line that runs through the articular surface and are classified as intra-articular fractures with an impression-shifting nature.…”

Section: Introductionmentioning

confidence: 99%

“…The uncommon consequences of calcaneal nonunion following management have been mentioned in only a small number of case reports and their successful management. Restoration of axial alignment and joint congruence, with careful caution toward soft tissues, is the basic principle of treatment [1].…”

Section: Introductionmentioning

confidence: 99%

Ilizarov-Assisted Healing for a Neglected Non-united Fracture Calcaneus: A Case Report and Literature Review

Ibrahim,

Gaber,

Elgahel

et al. 2024

Cureus

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Although calcaneal fracture is not a rare injury and nonunion is rare, proper management of a calcaneal fracture is mandatory because it can be a prerequisite for long-term functional disabilities of the foot, including posttraumatic osteoarthritis of the hindfoot joint, chronic pain, and persistent swelling syndromes. Restoration of axial alignment and joint congruence with careful caution toward soft tissues is the basic principle of treatment; however, few literature reviews to date have addressed the characteristics of a calcaneal nonunion fracture.We discuss a case of a 30-year-old male, manual worker, and diabetic type 1 with a calcaneal fracture reaching the articular surface of the subtalar joint who underwent a simple fracture to a painful nonunion fracture after conservative treatment for seven months before presenting to our hospital being unable to walk with heel deformity. The Ilizarov frame was used to correct deformities in the hindfoot, enhance healing by compressing the fracture site, and allow early weight bearing with the maintenance of subtalar joint function.Our result demonstrates increased calcaneal healing when the Ilizarov foot frame is used, and when the calcaneal fracture site is compressed, this is a good option for maintaining foot and ankle function, even in diabetic patients.

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Pseudoarthrosis of Calcaneus: Roentgenological Finding or Significant Condition?

Nanynets

Liabakh

Piatkovskyi

2021

HOTP

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Summary. Relevance. Calcaneus non-union (CNU) occurs in 1.3% of fracture cases; however, according to different authors, the frequency of this complication is much higher and is about 10%. Objective: to describe the clinical and roentgenological findings in patients with CNU; to highlight important aspects of diagnostics and surgical treatment. Materials and Methods. 9 patients with CNU have been observed. There were 7 males and 2 females. The average age was 34±1.5 (range 23-52) years. The average term from trauma to surgery was 13.5±1.5 (range 6-21) months. Changes in vertical talus-first metatarsal angle (vT1MA), pain syndrome (VAS), ankle range of motion, and foot function using AOFAS have been investigated. The indication for surgical treatment was symptomatic foot deformity; a subtalar arthrodesis with bone graft was used. Results. CNU was observed in 7 cases (77.8%) after the conservative treatment and in 2 cases (22.2%) after the surgical treatment. Roentgenologycally, the most characteristic feature was the extensor position of the talus and the associated with it the positive value of vT1MA, which causes an inverse relationship with the range of extension of the foot and reduces the height of the calcaneus. A subtalar arthrodesis with bone graft was performed in 7 cases (77.8%); in 2 cases (22.2%), the procedure was combined with calcaneus closing wedge osteotomy because of significant loss of hindfoot height. Bone fusion occurred within 8-10 weeks. vTMFA was 13±10 (13-150) before surgery and 8±10 (8-100) after surgery. Functional result by AOFAS was 63±2 points before surgery and 84±2 points 6 months after surgery. Conclusions. Calcaneus non-union is not accompanied by pain syndrome and is detected when the patient consults a doctor. The necessity of surgery in this case is decided on the basis of a detailed clinical and X-ray analysis and CT of the foot, taking into account the deformity of the hindfoot and the need for correction.

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A Rare Complication of Calcaneal Fracture – Calcaneal Non-Union. Case Report

Cited by 3 publications

References 8 publications

Plating technique outcome evaluation in calcaneal fracture based on American orthopaedics foot and ankle score and Böhler-Gissane angle: A case series

Plating technique outcome evaluation in calcaneal fracture based on American orthopaedics foot and ankle score and Böhler-Gissane angle: A case series

Ilizarov-Assisted Healing for a Neglected Non-united Fracture Calcaneus: A Case Report and Literature Review

Pseudoarthrosis of Calcaneus: Roentgenological Finding or Significant Condition?

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