Augmentation of Intraarticular Calcaneal Fractures With Injectable Calcium Phosphate Cement: Densitometry, Histology, and Functional Outcome of 18 Patients

Elsner, Andreas; Jubel, A.; Prokop, A.; Koebke, Jürgen; Rehm, K. E.; Andermahr, Jonas

doi:10.1053/j.jfas.2005.07.003

Cited by 56 publications

(37 citation statements)

References 24 publications

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“…In our test set-up, the failure criterion, defined as a 5°flattening of Böhler's or Gissane's angles, was not reached until application of a load several times higher than the body weight. This corroborates the observation by Elsner et al who tested full weight-bearing of the augmented calcaneal osteosynthesis after four weeks and failed to observe any loss of reduction [25]. Johal et al supported the use of an injectable, in situ hardening calcium phosphate paste to fill the bone void after a displaced intraarticular calcaneal fracture and osteosynthesis with plate and K-wires [26].…”

Section: Discussionsupporting

confidence: 81%

A biomechanical comparison of fixed angle locking compression plate osteosynthesis and cement augmented screw osteosynthesis in the management of intra articular calcaneal fractures

Rausch

Klos²,

Wolf

et al. 2014

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to investigate whether cement-augmented screw osteosynthesis results in stability comparable to conventional fixed-angle locking plate osteosynthesis using cadaveric bones to model a Sanders type 2B fracture. Methods Seven pairs of fresh frozen human calcanei and the corresponding tali were used. The specimens were assigned pairwise to two study groups in a randomised manner. In order to determine the initial quasi-static stiffness of the boneimplant construct, testing commenced with quasi-static compression ramp loading; subsequently, sinusoidal cyclic compression loading at 2 Hz was performed until construct failure occurred. Initial dynamic stiffness (cycle 1), range of motion (ROM), cycles to failure and load to failure were determined from the machine data during the cyclic test. In addition, at 250-cycle intervals, Böhler's angle and the critical angle of Gissane were determined on mediolateral X-rays shot with a triggered C-arm; 5°angle flattening was arbitrarily defined as a failure criterion. Results Bone mineral density was normally distributed without significant differences between the groups. The augmented screw osteosynthesis resulted in higher stiffness values compared to the fixed-angle locking plate osteosynthesis. The fracture fragment motion in the locking plate group was significantly higher compared to the group with augmented screw osteosynthesis. Conclusions The results of this study indicate that in our selected test set-up augmented screw osteosynthesis was significantly superior to the conventional fixed-angle locking plate osteosynthesis with respect to primary stability and ROM during cyclic testing.

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Section: Discussionsupporting

confidence: 81%

A biomechanical comparison of fixed angle locking compression plate osteosynthesis and cement augmented screw osteosynthesis in the management of intra articular calcaneal fractures

Rausch

Klos²,

Wolf

et al. 2014

International Orthopaedics (SICOT)

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“…Our results found no material-specific reasons for failure of bone substitutes as given in the literature [7,10,30,[35][36][37]. Probably the reasons for failure of substitutes have to be reduced to unspecific reasons like the age of the individual, tissue perfusion (due to sclerosis), and personal habits (smoking), or bony instability.…”

Section: Discussioncontrasting

confidence: 42%

“…Despite of advantages using bone cements with the capacity of remodelling in cancellous bone defects, there have been reports on soft tissue reactions [7], serous drainage [8], and infection [9][10][11][12] after implantation in patients. An inflammatory response to calcium phosphate bone cement immediately applied subcutaneously after mixing was also observed in an animal model [13].…”

Section: Introductionmentioning

confidence: 99%

Microvascular response to calcium phosphate bone substitutes: an intravital microscopy analysis

Roetman

Ring

Langer

et al. 2010

Langenbecks Arch Surg

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“…Although, there is no strong evidence, in which support superior benefit of bone grafting in treatment of DIACF [6], it is still a popular method. Stimulating fracture healing, early full weight bearing, prevention of post-traumatic arthritis and increase in mechanical strength are counted as advantages of bone grafting [7,8]. On the other hand, some studies stated increase in infection rate, blood loss and post-operative pain as disadvantages of bone grafting [9,10].…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Displaced Intra-Articular Calcaneal Fracture with Tri-Cortical Iliac Bone Graft

Madadi¹,

Madadi²,

Moghaddam³

et al. 2018

J Bone Res

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Management of displaced intra-articular calcaneal fracture has remained unclear for orthopedic surgeons and there is controversy to choose the best methods of treatment. Wide range of post-operative complications and variety of outcomes cause this complexity. Although, there is no strong evidence, in which support superior benefit of bone grafting in treatment of DIACF, it is still a popular method. The objective of this study was to present outcome and complications of surgical management of DIACF with tri-cortical iliac bone graft. Fifty-three cases containing 47 men (57 feet) and six women (7 feet) with DIACF underwent surgery by mean of tri-cortical auto graft bone from iliac crest. AOFAS hind foot scale (consist of subjective and objective variables including three major categories pain, function and alignment) and VAS questionnaires were used for full assessment of post-operative outcomes and complications. Mann-Whitney U test was used to compare means. The mean ± SD AOFAS hind foot score was 88.18 ± 7.12. AOFAS hind foot and VAS scores showed no significant difference between male and female. Nevertheless, better outcome of surgery among those below 35 year of age based on AOFAS hind foot score. Use of bone graft for treatment of DIACF might yield better results, however, the results probably differ in various conditions and situations. At the end, we recommend comparing results of different methods of treatment of DIACF by one large clinical trial with under the control of confounders.

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Augmentation of Intraarticular Calcaneal Fractures With Injectable Calcium Phosphate Cement: Densitometry, Histology, and Functional Outcome of 18 Patients

Cited by 56 publications

References 24 publications

A biomechanical comparison of fixed angle locking compression plate osteosynthesis and cement augmented screw osteosynthesis in the management of intra articular calcaneal fractures

A biomechanical comparison of fixed angle locking compression plate osteosynthesis and cement augmented screw osteosynthesis in the management of intra articular calcaneal fractures

Microvascular response to calcium phosphate bone substitutes: an intravital microscopy analysis

Surgical Treatment of Displaced Intra-Articular Calcaneal Fracture with Tri-Cortical Iliac Bone Graft

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