Calcaneal fractures – current trends and pitfalls

Bába, Vít; Kopp, L

doi:10.33699/pis.2021.100.8.369-375

Cited by 4 publications

(5 citation statements)

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“…At present, treatments of calcaneal fracture generally involve open or closed reduction and internal fixation; although it is superior to non-operative treatment [ 2 ], this surgery is complicated by the poor recovery of ankle function after operation. Malunion of the calcaneal body, poor wound healing, skin flap necrosis and other problems remain to be solved [ 3 , 4 ]. Some scholars have studied the influencing factors of postoperative functional recovery, hoping to find a solution.…”

Section: Introductionmentioning

confidence: 99%

A risk prediction model for postoperative recovery of closed calcaneal fracture: a retrospective study

Li,

Wang,

Zhang

et al. 2023

J Orthop Surg Res

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Objective To explore the risk factors for postoperative recovery of closed calcaneal fracture and develop a prediction model. Methods We retrospectively enrolled patients with closed calcaneal fracture from January 1, 2017 to December 31, 2020. Patients treated from 2017 to 2019 were selected as a training cohort and those in 2020 as a validation cohort. The outcome variable was the postoperative recovery evaluated by the Creighton-Nebraska calcaneal fracture scoring system. Multivariate logistic regression analysis was used to screen the risk factors of postoperative recovery. A risk prediction model was constructed in the training cohort and the corresponding nomogram was drawn. The model was validated internally using bootstrapping and externally by calculating the performance in the validation cohort. Results A total of 659 patients with closed calcaneal fracture met the inclusion and exclusion criteria, which were divided into the training cohort (n = 509) and the validation cohort (n = 150). 540 cases (81.9%) patients recovered well after calcaneal fracture surgery. According to multivariate logistic regression analysis, female (OR = 2.525, 95% CI 1.283–4.969), > 60 years (OR = 6.644, 95% CI 1.243–35.522), surgery within 8–14 days after fracture (OR = 2.172, 95% CI 1.259–3.745), postoperative infection (OR = 4.613, 95% CI 1.382–15.393), and weight-bearing time longer than 3 months after surgery (4–6 months, OR = 2.885, 95% CI 1.696–4.907; 7–12 months, OR = 3.030, 95% CI 1.212–7.578; > 12 months, OR = 15.589, 95% CI 3.244–74.912) were independent risk factors for postoperative recovery of calcaneal fractures. The C-indices were 0.750(95% CI 0.692–0.808) in the training cohort and 0.688(95% CI 0.571–0.804) in the external validation cohort, and the C-index of internal validation was 0.715. The Hosmer–Lemeshow test showed good fitting of the model (all P > 0.05), which was consistent with the results of the calibration plots. Decision Curve Analysis indicated that the clinical effectiveness was the best when the threshold probability was between 0.10 and 0.45. Conclusions Patients with female, > 60 years, surgery within 8–14 days after fracture, postoperative infection, and weight-bearing time longer than 3 months after surgery are more likely to have poor postoperative recovery. The risk prediction of fracture patients through this model might be translated into clinical guidance and application. Trial registration This study was registered on the Chinese Clinical Trial Registry (Registration number: ChiCTR-EPR-15005878).

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Section: Introductionmentioning

confidence: 99%

A risk prediction model for postoperative recovery of closed calcaneal fracture: a retrospective study

Li,

Wang,

Zhang

et al. 2023

J Orthop Surg Res

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“…The minimally invasive dual incision and internal fixation with a mini-plate may be effective in terms of radiological outcomes and offer a lower rate of wound infections (39). However, in recent years, the continuous development of implants, including screws, nails, and plates (40), as well as new techniques, especially in 3D printed models (41), and biomechanical studies (42), may contribute to improving patient outcomes after surgery. The evolutionary trends of the keywords used in calcaneal fracture research are shown in Figure 6.…”

Section: Discussionmentioning

confidence: 99%

“…Contributing institutions As shown in Figure 4A, China's Hebei Medical University produced the greatest number of publications (41), followed by the University of California, San Francisco (40) and the University of Tongji and University of Pittsburgh (29 each). Figure 4B presents the cooperation visualization map generated by CiteSpace, illustrating the interinstitutional collaborations among the calcaneal fracture research network.…”

Section: Countries and Regions Of Included Publicationsmentioning

confidence: 99%

Global research trends and hotspots in calcaneal fracture: A bibliometric analysis (2000–2021)

Cai

Song²,

He³

et al. 2023

Front. Surg.

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BackgroundCalcaneal fracture is common and carries high morbidity and disability. Its treatment is therefore of vital concern. Many topics concerning calcaneal fracture remain controversial, and the subject has not yet been well-researched. We aim to analyze and illustrate the trends in development, overall knowledge structure, “hotspots,” and research frontiers on the topic of calcaneal fracture.MethodsLiterature relating to calcaneal fracture published between 2000 and 2021 was retrieved from Science Citation Index Expanded (SCIE) database of the Web of Science. Three bibliometric tools (Bibliometrix, CiteSpace, and VOSviewer software) were used for analysis and the generation of knowledge maps. Annual trends in publication counts and the relative contributions of different countries, regions, institutions, authors, and journals, as well as keyword clusters, “hot topics,” and research frontiers, were analyzed.ResultsA total of 1,687 publications were included in the analysis. The number of calcaneal fracture articles published worldwide each year was highest in 2019, with a total of 128 articles. The United States has made the greatest contribution to the field, with the largest number of publications and the highest H-index. Foot & Ankle International was the most productive journal, publishing a total of 167 articles on calcaneal fracture during the study period. Hebei Medical University of China and the University of California, San Francisco were the most prolific institutions. Professors T. Schepers, S. Rammelt, H. Zwipp, and Y. Z. Zhang have made remarkable contributions to the field. However, the degree of collaboration between researchers and among institutions was relatively low, and took place mainly in Europe and the Americas. All relevant keywords could be categorized into three clusters: studies of internal fixation, studies of fractures, and studies of osteoporosis. A trend of balanced and diversified development could be seen within these clusters. Keywords with ongoing “citation bursts,” such as sinus tarsi approach, wound complications, minimally invasive technique, extensile lateral approach, surgical treatment, and plate, may continue to be research “hotspots” in the near future.ConclusionBased on current global trends, the number of publications on calcaneal fracture will continue to increase. Topics such as minimally invasive techniques and complications have become important hotspots of research. We recommend enhancing international communication and collaboration for future research in this field.

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“…Gãy xương gót hay gặp trong các gãy xương tụ cốt vùng cổ chân, gãy xương gót chiếm tỉ lệ 1% đến 2% trong tổng số gãy xương nói chung và có tới 75% là gãy phạm khớp [1], [2]. Cơ chế chấn thương chủ yếu là do ngã cao theo chiều đứng dọc, thường có kèm theo lún xẹp thân đốt sống và gãy khung chậu.…”

Section: đặT Vấn đềunclassified

“…Trước đây đối với những gãy xương gót phạm khớp có di lệch chủ yếu là được điều trị bảo tồn, điều trị phẫu thuật kết hợp xương gót mới được đề cập đến nhiều trong khoảng vài thập niên gần đây từ khi có chụp cắt lớp vi tính [2], [3], [4]. Điều trị gãy xương gót gồm điều trị bảo tồn như: bó bột, nắn chỉnh và bó bột theo phương pháp Westhus, phương pháp của Bohler; phẫu thuật nâng đồi gót theo phương pháp của tác giả Essex-Lopresti; phẫu thuật kết hợp xương nẹp vít và phẫu thuật hàn khớp sên gót [1], [3]. Điều trị không phẫu thuật các trường hợp gãy xương gót phạm khớp sẽ khó phục hồi hình thể giải phẫu của xương gót, phẫu thuật hàn khớp sên gót chủ yếu được sử dụng trong trường hợp kết hợp xương thất bại, bệnh nhân đau nhiều, hồi phục chức năng khớp cổ chân kém.…”

Section: đặT Vấn đềunclassified

Kết Quả Bước Đầu Điều Trị Gãy Kín Xương Gót Bằng Phương Pháp Kết Hợp Xương Nẹp Vít

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2023

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Đặt vấn đề: Gãy xương gót có tới 75% là gãy phạm khớp, trong vài thập niên gần đây có nhiều loại nẹp vít phù hợp hình thể giải phẫu xương gót ra đời đã thúc đẩy xu thế phẫu thuật điều trị gãy xương gót. Mục tiêu nghiên cứu: Nhận xét kết quả sớm điều trị gãy kín xương gót bằng phương pháp kết hợp xương nẹp vít. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả lâm sàng tiến cứu 24 bệnh nhân với 29 xương gót gãy, phân loại II, III, IV theo Sanders, được phẫu thuật kết hợp xương bằng nẹp vít xương gót, trong thời gian từ tháng 1/2021 đến tháng 1/2023 tại Bệnh viện Trường Đại học Y Dược Cần Thơ và Bệnh viện Đa khoa Trung ương Cần Thơ. Kết quả: Góc Bohler trung bình sau mổ đạt 31,28°±4,64° (trước mổ là 5,31°±5,18°). Góc Bohler trung bình sau mổ 3 tháng đạt 28,75°±4,97°. Thời điểm phẫu thuật trung bình là 8,75±4,88 ngày sau chấn thương. Vết mổ liền sẹo kỳ đầu 28 vết mổ và có 1 vết mổ thiểu dưỡng, liền sẹo muộn. Theo dõi được 29 ổ gãy xương gót sau mổ 4 tháng, chức năng khớp cổ chân theo Rowe là 94,66±10,43 điểm, kết quả chung theo Hall và Pennal đạt: tốt (79,3%), khá (13,8%), trung bình (6,9%) và không có trường hợp nào đạt kết quả xấu. Điểm AOFAS Ankle - Hindfoot Score đạt 86,90±9,69 điểm (55-97 điểm). Kết luận: Phẫu thuật kết hợp xương gót bằng nẹp vít là một lựa chọn điều trị mang lại kết quả phục hồi chức năng khớp cổ chân sau mổ tốt. Tuy nhiên cần thận trọng khi bóc tách vạt chữ L đủ độ dày và nên dẫn lưu vết mổ để tránh nguy cơ thiểu dưỡng và hoạt tử vạt da.

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Calcaneal fractures – current trends and pitfalls

Cited by 4 publications

References 0 publications

A risk prediction model for postoperative recovery of closed calcaneal fracture: a retrospective study

A risk prediction model for postoperative recovery of closed calcaneal fracture: a retrospective study

Global research trends and hotspots in calcaneal fracture: A bibliometric analysis (2000–2021)

Kết Quả Bước Đầu Điều Trị Gãy Kín Xương Gót Bằng Phương Pháp Kết Hợp Xương Nẹp Vít

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