Comment to the paper “Balloon reduction and cement fixation in intra-articular calcaneal fractures: a percutaneous approach to intra-articular calcaneal fractures” by Jacquot et al.

Jacquot, Frédéric; Atchabahian, Arthur; Letellier, Thomas

doi:10.1007/s00264-011-1319-2

Cited by 5 publications

(6 citation statements)

References 4 publications

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“…We initiated the technique in September 2006 with one case and have consistently improved on the technique since that time [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…All cases were operated on in the prone position with a double image intensifier control in the lateral and AP/ thalamic view as already described [5][6][7]. Additional reduction techniques were used, such as lateral compression using two plastic slabs and a large reduction clamp, as well as "framing" of the fracture using temporary plantar K-wire stabilisation to direct the pressure of the balloon towards the thalamic fragment.…”

Section: Techniquementioning

confidence: 99%

“…Full weight bearing was allowed only after healing of the fracture was obtained (three months) in a very conservative fashion in this series. Partial weight bearing was allowed after two months in four cases with very reliable patients (cases 3,6,7,11) (Fig. 2).…”

Section: Techniquementioning

confidence: 99%

“…The technique has been described in several papers recently with technical details [2][3][4][5][6][7][8]. However, it lacks follow up and clinical evidence of efficacy.…”

Section: Introductionmentioning

confidence: 99%

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Balloon reduction and cement fixation in calcaneal articular fractures: a five-year experience

Jacquot

Letellier

Atchabahian³

et al. 2013

International Orthopaedics (SICOT)

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Purpose Balloon reduction and cement fixation of displaced articular fractures of the calcaneus have been described elsewhere but support for it lacks clinical evidence. We have been performing the technique since October 2006 and describe here our clinical experience including three to five-year follow up of our first ten cases with no patient lost to follow up. Methods From September 2006 to September 2009, ten patients were admitted with a calcaneus fracture, six were female and four male, one case was bilateral (11 fractures). Patients were operated upon in the prone position according to the technique we have described. Reduction was obtained in all cases. Patients were discharged after an average of four days postoperatively and were allowed weight bearing after two to three months. All patients were followed up regularly and were examined by an independent observer at the latest follow up. The clinical results were assessed using the AOFAS ankle score, the Babin score and the RAND-36 physical components score. A CT scan was obtained in all patients before, after the operation and at the latest follow up.Results After a minimal follow up of 36 months (three to five years), no patient was lost to follow up and none required further surgery. The AOFAS clinical results were rated good or excellent in 81.8 % of cases (nine fractures, eight patients), and the physical component of the RAND-36 was 74.6. One patient only (one fracture) had a bad clinical result and evidence of subtalar arthritis on the CT scan and was offered a subtalar fusion; she refused. All patients had returned to their former professional activities at the same level as before the fracture except one who had retired but had resumed leisure walking. Conclusion Balloon reduction and cement fixation of fresh calcaneal fractures ("balloon calcaneoplasty") appears a safe and effective procedure in a variety of calcaneal fractures with lasting and excellent clinical results. More studies are needed to further refine the indications and the limits of the procedure.

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“…We initiated the technique in September 2006 with one case and have consistently improved on the technique since that time [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Section: Techniquementioning

confidence: 99%

Section: Techniquementioning

confidence: 99%

“…The technique has been described in several papers recently with technical details [2][3][4][5][6][7][8]. However, it lacks follow up and clinical evidence of efficacy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Balloon reduction and cement fixation in calcaneal articular fractures: a five-year experience

Jacquot

Letellier

Atchabahian³

et al. 2013

International Orthopaedics (SICOT)

Self Cite

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“…The technique we used for reduction as an inflation balloon is directly derived from the vertebral kyphoplasty techniques we have been using since 2003 in the spine. We also started using such techniques in limb fractures such as displaced calcaneal fractures with thalamic involvement since 2006 [19][20][21], and fractures of the lateral tibial plateau as early as March 2009. The use of methacrylate (PMMA) cement as a filling material and fixation device has not caused any issue in the spine nor in limb fractures.…”

Section: Discussionmentioning

confidence: 99%