Calcaneocuboid Joint Involvement in Calcaneal Fractures

Kinner, Bernd; Schieder, Sarah; Müller, Franz; Pannek, Anja; Roll, C.

doi:10.1097/ta.0b013e3181b28b8c

Cited by 20 publications

(29 citation statements)

References 25 publications

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“…Patient-related items were: gender, age at trauma, trauma mechanism and Injury Severity Score (ISS). Fracture characteristics were: presence of varus tilt of the talus [1], double density sign [4,6], the involvement of the calcaneocuboid joint (CCJ) [7,8], associated fibula fracture [2] and Essex-Lopresti and Sanders classification (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

Functional outcome following a locked fracture-dislocation of the calcaneus

Schepers

Backes

Schep

et al. 2013

International Orthopaedics (SICOT)

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Purpose Locked fracture-dislocations of the calcaneus are uncommon, and a substantial number of these injuries is not recognised or is misdiagnosed at first presentation. The primary aim of this study was to evaluate the long-term outcome in patients with this injury. Methods This is a retrospective cohort study of adult patients who sustained a uni-or bilateral calcaneal fracturedislocation. Outcome was measured using validated questionnaires, including the American Orthopaedic Foot and Ankle Society Hindfoot score (AOFAS), Foot Function Index (FFI) and a visual analogue scale (VAS). Results During the 12-year study period a total of 16 patients with 17 locked fracture-dislocations were identified. This represented 6 % of all surgically treated calcaneal fractures (17 of 279). The median follow-up was 48 months. All patients were treated using an extended lateral approach and plate fixation. In one patient with a delayed presentation a primary arthrodesis was performed. The functional outcome scores were available for 14 patients with 14 fractures. The median AOFAS was 74 [interquartile range (IQR) 47-86], the median FFI was 18 (IQR 6-37) and the median VAS for overall satisfaction was 8.2 (IQR 5.5-9.4). A secondary fusion was deemed necessary in three cases. Conclusions This study shows that, with surgical treatment via an extended lateral approach, the outcome in patients with a locked fracture-dislocation of the calcaneus is similar to the outcome of other displaced intra-articular calcaneal fracture types. However, a higher rate of secondary subtalar fusion can be expected.

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Section: Methodsmentioning

confidence: 99%

Functional outcome following a locked fracture-dislocation of the calcaneus

Schepers

Backes

Schep

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Soft tissue coverage was achieved in 8 patients using a free vascular flap, in 5 patients using a pedicled flap, 17 times using split skin grafts, and 4 times using full skin grafts. On average, four operations were necessary (range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] to achieve soft tissue coverage.…”

Section: Resultsmentioning

confidence: 99%

“…Comparable with prior studies, we could show that alterations in gait were found even with minor changes of anatomy. 15,22 Only 22% of the patients had symmetric cyclograms. As with all methods, pedography has its limitations.…”

Section: Discussionmentioning

confidence: 99%

“…However, outcome after isolated injuries of the calcaneus, talus, or midfoot have been investigated in detail. 15,[22][23][24][25][26] The first challenge was to define complex trauma of the foot. Similarly, one will be confronted with a heterogeneous patient population.…”

Section: Discussionmentioning

confidence: 99%

“…However, it was only slightly worse if compared with severe monotrauma of the foot. 15,22 On the other hand, quality of life compares to life-threatening or consuming diseases such as angina pectoris of heart failure (Table 12). These results are supported by the findings of Pollak et al, 26 who described the quality of life after pilon fractures.…”

Section: Discussionmentioning

confidence: 99%

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