Early Minimally Invasive Percutaneous Fixation of Displaced Intra-Articular Calcaneal Fractures With a Percutaneous Angle Stable Device

Battaglia, Alberto; Catania, Pompeo; Gumina, Stefano; Carbone, Stefano

doi:10.1053/j.jfas.2014.08.021

Cited by 22 publications

(20 citation statements)

References 34 publications

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“…Calcaneal fracture is the most common fracture of the tarsal bone, with approximately 75% displaced intraarticular fractures (26). Of the fractures of the calcaneus involving the subtalar joint, 70% to 90% will be caused by high-energy traumas, for example, a fall from a height (27).…”

Section: Discussionmentioning

confidence: 99%

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

Cao

et al. 2018

The Journal of Foot and Ankle Surgery

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Calcaneal fractures, often caused by a fall from a height, are the most common injuries encountered by orthopedic surgeons. Currently, open anatomic reduction and internal fixation (ORIF) is considered a valuable treatment of displaced intraarticular fractures of the calcaneus; however, the need for bone grafting in the treatment is still controversial. Therefore, in the present study, we investigated the outcomes of 2 methods (with and without bone grafting) used for the surgical treatment of Sanders type III calcaneal fractures. From January 2013 to September 2015, 57 cases (55 patients) with displaced Sanders type III calcaneal fractures (53 unilateral and 2 bilateral) were enrolled. The patients were divided into 2 groups: group I was treated by ORIF with bone grafting (n = 28) and group II was treated by ORIF without bone grafting (n = 29). The radiologic evaluation included Böhler's angle, Gissane's angle, and the height and width of the calcaneum. In addition, the American Orthopaedic Foot and Ankle Society questionnaires and visual analog scale were completed by the patients. During the follow-up period, no differences were found in the outcome measures (Böhler's angle, p = .447; Gissane's angle, p = .599; calcaneal height, p = .065; calcaneal width p = .077; and American Orthopaedic Foot and Ankle Society questionnaires, p = .282) with or without bone grafting. The only difference between the 2 groups was the occurrence of postoperative pain (p = .024 and p = ≤ .05), which was greater in the patients who had undergone bone grafting. We have provided evidence that bone grafting with internal fixation in the treatment of intraarticular calcaneal fractures failed to improve the restoration of Böhler's angle or Gissane's angle. No statistically significant difference was found in the short-term outcomes between the 2 methods used for the surgical treatment of Sanders type III calcaneal fractures.

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Section: Discussionmentioning

confidence: 99%

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

Cao

et al. 2018

The Journal of Foot and Ankle Surgery

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“…In the literature, the shortest duration that we could find was 47.3±20 minutes. [28] Our mean duration of operation is far better than the current literature. This yields less use of anesthetics, less X-ray exposure, and more feasible use of the operation room.…”

Section: Discussionmentioning

confidence: 62%

“…However, in their study, they used sinus tarsi-like approach to elevate articular surface and used calcium sulfate cement augmentation. Battaglia et al [28] also reported better scores with the percutaneous technique. Their mean AOFAS score was 85.…”

Section: Discussionmentioning

confidence: 90%

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Baca

Koluman

2019

Eklem Hastalik Cerrahisi

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ÖZ Amaç: Bu çalışmada deplase eklem içi kalkaneus kırıklarının hızlı, daha az karmaşık ve modifiye edilmiş perkütan bir teknikle cerrahi olarak tedavisinin sonuçları değerlendirildi. Hastalar ve yöntemler: Bu retrospektif çalışmaya Mayıs 2012 ve Haziran 2016 tarihleri arasında kliniğimize kalkaneus kırığı nedeniyle başvuran ve iki çapraz Schanz vidası ile kapalı redüksiyon ve perkütan tespit kullanılarak ameliyat edilen 114 hasta (86 erkek, 28 kadın; ort. yaş 39 yıl; dağılım, 16-66 yıl) dahil edildi. Travma tipi, ek yaralanmalar, tıbbi komorbiditeler, ameliyat öncesi ve sonrası dönem, ameliyat süresi, kemik iyileşmesine kadar geçen süre, komplikasyonlar, ameliyat sonrası fonksiyonel ve radyolojik sonuçlar değerlendirildi. Bulgular: Ameliyat sonrası Bohler açısı ölçümlerindeki artış ameliyat öncesi değerlere kıyasla istatistiksel olarak anlamlı idi (p= 0.001; p<0.01). Sanders sınıflamasına göre yedi ayak (%5.3) tip II, 76 ayak (%57.57) tip III ve 49 ayak (%37.12) tip IV idi. Ortalama Amerikan Ortopedik Ayak-Ayak Bileği Derneği (AOFAS) skoru 80.4 (dağılım, 47-92) idi. Sanders sınıflamasına göre ortalama AOFAS skorları tip II için 81.25, tip III için 81.88 ve tip IV için 80.19 idi. Ortalama ameliyat süresi 8±1.5 dakika idi. Sonuç: Modifiye perkütan teknik ile açık redüksiyonun kontrendike olduğu durumlarda bile iyi sonuçlar alınabilir. Dizilimin sağlanması ve çökmüş eklem içi parçanın yükseltilmesi, anatomik redüksiyon olmadan iyi orta dönem sonuçları için yeterli olabilir. Anahtar sözcükler: Kalkaneus kırığı, eklem içi kırık, minimal invaziv cerrahi, perkütan tespit. ABSTRACTObjectives: This study aims to review the results of surgically treated displaced intra-articular calcaneal fractures with a fast, less complicated, and modified percutaneous technique. Patients and methods: This retrospective study included 114 patients (86 males, 28 females; mean age 39 years; range, 16 to 66 years) admitted to our clinic for calcaneal fractures between May 2012 and June 2016 and operated using closed reduction and percutaneous fixation with two crossed Schanz pins. Trauma type, additional injuries, medical comorbidities, pre-and postoperative period, duration of operation, time to bone healing, complications, postoperative functional and radiological results were evaluated. Results: The increase in the postoperative Bohler's angle measurements was statistically significant compared to preoperative values (p= 0.001; p<0.01). According to Sanders classification, seven feet (5.3%) were type II, 76 feet (57.57%) were type III, and 49 feet (37.12%) were type IV. The mean American Orthopaedic Foot and Ankle Society (AOFAS) score was 80.4 (range, 47 to 92). According to Sanders classification, the mean AOFAS scores were 81.25 for type II, 81.88 for type III, and 80.19 for type IV. Mean duration of operation was 8±1.5 minutes. Conclusion: Modified percutaneous fixation can give good results, even when open reduction is contraindicated. Maintaining the alignment and elevating the depressed intraarticular fragment may be sufficient fo...

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“…Fracture of calcaneum accounts for about 2% of all fractures and 75% of all calcaneum fractures are intra-articular. 2 The prognosis for an extra articular fracture is uniformly good but the intraarticular calcaneal fractures continue to be one of the most disabling injuries, as these injuries distort anatomy of hind foot and compromise the functions of the subtalar joint. 3 Numerous controversies existed regarding optimal treatment of displaced intraarticular calcaneum fractures.…”

Section: Introductionmentioning

confidence: 99%

Descriptive study of functional outcome and complication of fracture calcaneum treated with locking calcaneum plate

et al. 2019

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Background: Fracture of calcaneum accounts for about 2% of all fractures and 75% of all calcaneum fractures are intra-articular. Numerous controversies existed regarding optimal treatment of displaced intraarticular calcaneum fractures. In this study evaluate post-operative functional outcome and complication of fracture calcaneum treated with locking calcaneum plate. Methods: This hospital based prospective descriptive study was conducted on 108 patients (120 calcaneum fracture) operated between July 2016 to December 2018 by open reduction and internal fixation with locking calcaneum plate through extensive lateral approach at Department of Orthopaedics, SMS Medical college and hospital, Jaipur. All close displaced intraarticular calcaneal fracture was included in the study. Results: Average duration between injury and surgery was 8.3±2.97 days. Out of 120 calcaneum fracture 52 fractures (43.33%) were Sander's type II, 52 fractures (43.33%) were Sander's type III, and 16 fractures (13.33%) were Sander's type IV. Pain on weight bearing was noted in 20 patients (16.66%) implant prominence was noted in 8 patients and delayed wound healing was seen in 4 patients. Maryland foot score was excellent in 44 fracture (36.67%), good in 56 fractures (46.67%), fair in 8 fractures (6.67%), and poor in 12 fractures (10%). Conclusions: Open reduction and internal fixation (ORIF) with locking calcaneum plate in an indicated case, with respect to soft tissue envelope and early rehabilitation, leads to better therapeutic results as compared to other operative technique.

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Early Minimally Invasive Percutaneous Fixation of Displaced Intra-Articular Calcaneal Fractures With a Percutaneous Angle Stable Device

Cited by 22 publications

References 34 publications

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Descriptive study of functional outcome and complication of fracture calcaneum treated with locking calcaneum plate

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