Calcaneal fractures

Abstract

Kalkaneusfrakturen" Zusammenfassung Kalkaneusfrakturen treten häufig bei Hochrasanztraumen auf und beinhalten komplexe dreidimensional orientierte Frakturtypen. Das operative Management ist bei verschobenen intraartikulären Frakturen generell indiziert, da nur damit eine Wiederherstellung der Knochenmorphologie (z. B. Höhe und Breite) und eine anatomische Wiederherstellung der Gelenkflächen möglich ist. Durch diese operative Intervention werden auch bessere Vorraussetzungen für eventuell später notwendige Operationen wie Korrekturarthrodesen geschaffen. Das frühe und späte Management der Kalkaneusfrakturen wird in dieser Arbeit beschrieben." Schlüsselwörter Kalkaneusfraktur -fehlverheilte Kalkaneusfraktur -ArthroseSubtalargelenk " Abstract Fractures of the calcaneus generally occur in the event of high-energy trauma, resulting in complex, three-dimensionally oriented fracture patterns. Surgical management is generally indicated for displaced intra-articular fractures, which allows restoration of calcaneal height, width and overall morphology, in addition to the posterior facet articular surface where possible, and allows for a late in situ arthrodesis as a means of salvage in the event of posttraumatic arthritis. What follows is a brief discussion of our preferred methods in the diagnosis and management of calcaneal fractures.

The epidemiology and clinical features of calcaneus osteomyelitis following calcaneus fracture: a retrospective study of 127 cases

“…There is evidence that delay of operation may increase the infection rate (6), however, surgery must be delayed due to associated soft tissue swelling and the best intervention time is 7-14 days after the original fracture. Visible skin wrinkling and no remaining pitting edema indicates positive surgical intervention may be safely implemented (11). In our study, most participants were treated within the first week following trauma and surgeries were performed depending on the general condition of participants, and local soft tissue conditions.…”

“…Although ORIF via an extensible lateral L-shaped approach is recognized as a gold standard treatment for calcaneus fracture, this surgical protocol may also induce the complication of wound infection, with an incidence of 2-15%. The incidence of osteomyelitis has accounted for 1-4% of closed fracture complications (11). Calcaneal osteomyelitis is likely to result in partial or total calcanectomy, or more severely, amputation (10).…”

Comparison of Surgical Techniques for the Treatment of Intraarticular Calcaneal Fractures

“…Yaş yönünden iki grup arasında anlamlı bir fark yoktur. Başvurudan ameliyata kadar geçen süre, açık cerrahi için 8,2 (2-14) gün, ve perkütan cerrahi için 2,5 (1)(2)(3)(4)(5) gündür. ROM, VAS, AOFAS ve Maryland skorları açısından iki grup arasında anlamlı bir fark yoktur.…”

“…Kalkaneus genişliği açık cerrahi ile daha başarılı düzelmiştir (p=0.001). Açık redüksiyon grubunda 3 derin enfeksiyon ve 5 (2,3). There is no consensus about the optimal treatment of calcaneal fractures.…”

Does Treatment Modality Affect Clinical Results of Calcaneal Fractures: A Retrospective Comparative Study

“…Cerrahi teknikteki ilerlemeler, iyi dizayn edilmiş implantların geliştirilmesi, özellikle bilgisayarlı tomografinin (BT) kullanımı ile kırık tipi-şeklinin daha iyi anlaşılması ve yeni sınıflandırmaların geliştirilmesi sonucu, son 20 yıldır cerrahi tedavinin popülaritesi artmıştır. Cerrahi tedavide uygulanacak tedavi şekli; kırığın tipine, eklem ile ilişkisine, hastanın yaşına ve kemik kalitesine göre değişmektedir [3]. Cerrahi tedavide Steinmann çivileri yardımı ile kapalı redüksiyon veya açık redüksiyon ve plak ile stabil fiksasyon uygulanabilir [3].…”