An Operation for Relief of Disability in Old Fractures of Os Calcis

Magnuson, Paul B.

doi:10.1001/jama.1923.02640480015005

Cited by 25 publications

(8 citation statements)

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“…Magnusson noted that he saw practically no calcaneum fracture which did not result in significant disability of foot. 6 In the present study males had higher ratio of calcaneum fracture than females. In the Mitchell's research, the annual incidence of calcaneal fracture was 11.5 per 100,000, and occurred 2.4 times more frequently in males than in females.…”

Section: Discussionsupporting

confidence: 50%

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Patel

Vala

2019

Int J Res Orthop

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Background: Calcaneal fractures account for 2% of all fractures with approximately 65-75% intra-articular. The aim of the present study is to determine the outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture in our institute.Methods: The present study was performed in 31 patients who underwent closed reduction and fixations with screw in this institute for the duration of 2 years were included in this study. Present study was conducted to determine the functional outcome of patients with calcaneal fractures treated with minimally invasive fixation of fractures with cancellous screws after indirect reduction with JESS or manual reduction or with Steinmen pin.Results: The average age of the patients was 44.14 years, ranging from 16 to 74 years, 28 patients were males and 3 were female. The AOFAS score at last follow up was 78.05 this improvement was also significant statistically (p<0.05). The mean Bohler angle at the last radiographic evaluation was 32.87°. The complications noted were proud implant with superficial wound infection in one, deep infection in 2 patients and delay in wound healing in 2 patients, persistent pedal edema in 2 patients.Conclusions: ORIF of calcaneal fractures is associated with high skin complications and comorbidities. Percutaneous screw fixation has fewer skin complications and can have satisfactory functional outcome. JESS or similar external fixator can be used intraoperatively for achieving reduction through ligamentotaxis.

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Section: Discussionsupporting

confidence: 50%

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Patel

Vala

2019

Int J Res Orthop

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“…Magnuson later duplicated Cotton's favourable results, using a large bone wrench to mobilise the subtalar joint [55].…”

Section: Resultsmentioning

confidence: 98%

Corrective arthrodeses and osteotomies for post-traumatic hindfoot malalignment: indications, techniques, results

Rammelt

Zwipp

2013

International Orthopaedics (SICOT)

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Hindfoot malunions after fractures of the talus and calcaneus lead to severe disability and pain. Corrective osteotomies and arthrodeses aim at functional rehabilitation and reduction of pain resulting from post-traumatic arthritis, eccentric loading and impingement due to hindfoot malunion. Preoperative analysis should include the three-dimensional outline of the malunion, the presence of post-traumatic arthritis, non-union, or infection, the extent of any avascular necrosis or comorbidities. In properly selected, compliant patients with intact cartilage cover little or no, AVN, and adequate bone quality, a corrective joint-preserving osteotomy with secondary internal fixation may be carried out. In the majority of cases, realignment is augmented by arthrodesis for post-traumatic arthritis. Fusion is restricted to the affected joint(s) to minimise loss of function. Correction of the malunion is achieved by asymmetric joint resection, distraction and structural bone grafting with corrective osteotomies for severe axial malalignment. Bone grafting is also needed after resection of a fibrous non-union, sclerotic or necrotic bone. Numerous clinical studies have shown substantial functional improvement and high subjective satisfaction rates from pain reduction after corrective osteotomies and fusions for post-traumatic hindfoot malalignment. This article reviews the indications, techniques and results of corrective surgery after talar and calcaneal malunions and nonunions based on an easy-to-use classification.

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“…Magnuson stated that he “saw practically no fractures of the os calcis which did not result in significant disability of the foot” 1. Numerous controversies have surrounded the management of patients who have a calcaneal fracture 2.…”

Section: Introductionmentioning

confidence: 99%

“…Magnuson stated that he “saw practically no fractures of the os calcis which did not result in significant disability of the foot”. 1 Numerous controversies have surrounded the management of patients who have a calcaneal fracture. 2 The primary source of disagreement has been the issue of whether better results are achieved with operative or non-operative treatment.…”

Section: Introductionmentioning

confidence: 99%

Ligamentotaxis for complex calcaneal fractures using Joshi's external stabilization system

Singh¹,

Rn²,

Jah³

et al. 2008

Indian J Orthop

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Background:Controversies exist in the literature regarding the management of complex fractures of the calcaneum. We evaluated a series of complex fractures of the calcaneum managed by ligamentotaxis using Joshi's external stabilization system (JESS) for its efficacy.Materials and Methods:Forty-five patients having complex (comminuted, intra-articular fracture with compromised soft tissue condition) fractures of the calcaneum, who were treated by external fixator (JESS) based on the principle of ligamentotaxis. The gradual distraction was done to bring the articular margins together to maintain both alpha and beta angles to near normal range. Thirteen (28.9%) patients underwent additional corticocancellous bone grafting with elevation of posterior facet. All patients were evaluated for their functional outcomes by American Orthopedic Foot and Ankle society (AOFAS) Score for the ankle and hind foot. Mean duration of follow-up was 20.5 months.Results:Forty-two (93.4%) of our patients did well with the ligamentotaxis. On evaluating final outcomes by AOFAS, approximately 71% of cases showed good results. Eleven patients (24.4%) complained of persistent heel pain in the long-term follow-up. Out of these, eight (17.8%) patients were those who had severe comminution with almost total loss of calcaneal height. The origin of heel pain was not the subtalar joint in all of these patients.On long-term follow-up none of these patients suffered from such severe pain so as to compel them to change the nature of their activity.Conclusion:We conclude that ligamentotaxis by JESS provides a viable and user-friendly alternative method of management of these complex calcaneal fractures.

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An Operation for Relief of Disability in Old Fractures of Os Calcis

Cited by 25 publications

References 0 publications

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Corrective arthrodeses and osteotomies for post-traumatic hindfoot malalignment: indications, techniques, results

Ligamentotaxis for complex calcaneal fractures using Joshi's external stabilization system

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