Foot Injuries

Minimizing Hardware in Intra-Articular Fracture Calcaneus

“…Some authors suggest that the calcaneus being a cancellous structure will recover without use bone grafting, but other authors consider bone grafting as a mandatory part for treating calcaneal fractures to protect joint reduction, add mechanical strength and stimulate fracture healing. 3,[33][34][35] We used bone grafting where ever necessary to fill up the bone gaps. In our belief, gaps in the cancellous bone left behind are filled up with fibro-cartilaginous tissue as cancellous bone heal up only by direct contact.…”

Fixation of Navicular Body Fractures With a Cerclage Wire Technique

“…Crossan 11 later recommended resection of all fracture fragments. Several authors 1,5,8,12 later noted advancing deformities of the foot that ultimately resulted in poor outcomes. As a result, Bonvallet,13 in 1950 advocated for anatomic reduction and internal fixation of displaced navicular fractures.…”

“…These injuries very infrequently are managed nonoperatively, primarily as a result of the often associated subluxation or dislocation. 1 Generally accepted indications for operative repair includes: displacement or joint incongruity ( > 1 mm), medial column shortening ( > 2 to 3 mm), irreducible dislocations, persistent subluxation or dislocation, lateral column involvement, open fractures, compartment syndrome, and skin at risk. 1 The timing of surgical intervention is based on several critical factors.…”

“…[1][2][3] Fractures of the navicular body are relatively uncommon predominantly due to strong ligamentous attachments. 1,3 Patients presenting with this fracture often have sustained major trauma, as the amount of energy that is required to create these fracture patterns is quite significant. Further advances in automobile safety are resulting in improved survival of patients with severe high-energy foot injuries.…”

Articularly Placed Interfragmentary Screw Fixation of Difficult Condylar Fractures of the Hand

“…Such fractures have to be fixed by placing the screws transchondrally perpendicular to the fracture line. 8 This technique is not new in the management of condylar fractures of the hand 8 and has been employed elsewhere in the body-for example, in the talus, 9,10 femoral head, 11,12 radial head, [13][14][15] and scaphoid. 16,17 The purpose of this report was to retrospectively review the outcomes of 11 difficult condylar fractures of the metacarpal and proximal phalangeal heads successfully treated with this fixation technique.…”