Minimal-invasive Versorgung intraartikulärer Fersenbeinfrakturen mit dem 2‑Punkt-Distraktor

Mattiassich, Georg; Litzlbauer, Werner; Ponschab, Martin; Ortmaier, Reinhold; Rodemund, Christian

doi:10.1007/s00064-016-0478-0

Cited by 10 publications

(8 citation statements)

References 7 publications

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“…While orthoses are in the focus of non-operative therapy in foot-related diseases [15], the use of aids and supporting devices in the treatment of fractures is often totally neglected. Usually, short rehabilitation protocols are provided without too much into detail [16]. Therefore, reliable protocols evaluating the use of the often applied orthotic devices appear to be just as necessary as a standardized procedure for the operation.…”

Section: Discussionmentioning

confidence: 99%

The effect of a heel-unloading orthosis in short-term treatment of calcaneus fractures on physical function, quality of life and return to work – study protocol for a randomized controlled trial

Schmal

Holsgaard-Larsen

Froberg

et al. 2019

Trials

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Background There are no standardized therapy guidelines for rehabilitation of calcaneus fractures. While there is consensus on non or partial weight-bearing, the use of supporting devices such as specific foot ankle orthosis is still a matter of debate. Recently, a heel-unloading orthosis (“Settner shoe”) was introduced for aftercare of these fractures, allowing walking by shifting the load to the middle-foot and forefoot. This orthosis enables early mobilization of patients suffering from either one-sided or two-sided fractures. The Settner shoe can be applied in non-operative therapy and after surgery. Specifically in calcaneus fractures, early regain of physical activity has been highlighted as one of the key factors for quality of life and the ability to return to work. Thus, we hypothesize that mobilization with the Settner shoe results in improved quality of life and greater physical activity within the first 3 months. Methods This is going to be analyzed by a randomized controlled study comparing treatment with and without this specific orthosis. The secondary outcome measure is the time point of return to work in patients aged between 18 and 60 years, with calcaneus fracture. Furthermore, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, a 3-dimensional gait analysis, and the Euroqol-5 dimension-3 level (EQ-5D-3 L) questionnaire for quality of life are assessed. Discussion This is the first trial applying a standardized rehabilitation protocol in patients with calcaneus fractures, aiming to improve the non-operative part of treatment by use of an orthosis. Trial registration ClinicalTrials.gov, NCT03572816 . Registered on 27 July 2018. Electronic supplementary material The online version of this article (10.1186/s13063-019-3447-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

The effect of a heel-unloading orthosis in short-term treatment of calcaneus fractures on physical function, quality of life and return to work – study protocol for a randomized controlled trial

Schmal

Holsgaard-Larsen

Froberg

et al. 2019

Trials

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“…The posterior part of ST was the highest among the three, while the all parts exceeded 4 mm (the diameter of ST screw was usually 4 or 3.5 mm). 15,16 Although a 4-mm-diameter screw would be safe and suitable for ST fixation in most cases if under proper usage, the volume of ST in male was greater than in female. Therefore, the diameter of the ST screw should be 4.0 mm in male and 3.5 mm in female.…”

Section: Discussionmentioning

confidence: 99%

Anatomical parameters of sustentaculum Tali screw placement in the Asian population: A retrospective radio-anatomical study

Liao

Feng

2022

J Orthop Surg (Hong Kong)

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Purpose: This study aimed to determine the anatomical parameters of successful Sustentaculum Tali (ST) screw placement in the Asian population. Method: CT scans of unilateral feet of 110 participants were reviewed, retrospectively. The 3 D reconstruction of the calcaneus and morphometric measurements were performed by Mimics Research 19.0 and 3-Matic Research 11.0. Finally, six cadaveric feet were used for verification of the accuracy of the measurements. Results: We discovered a method to help place ST screw successfully: (1) The entry point located at the middle section of the lateral wall of posterior talar articular surface (PTAS), and the perpendicular distance from the entry point to the lateral edge of PTAS (PDEL) was 10.78 mm, (2) Screw was perpendicular to the z-axis, 66.98° to the y-axis (the longitudinal axis of the foot), (3) The length of the ST screw should be approximately 44.74 mm in male and 41.14 mm in female, and (4) The diameter of the ST screw should be approximately 4.0 mm in male and 3.5 mm in female. With this new method, all screws in six cadaveric feet were placed successfully into the middle of ST. Conclusions: In this study, we discovered a general approach to safely place ST screws in the Asian population, which may potentially help surgeons improve their success rate in surgical practice.

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“…значительно меньше подобных исследований посвящено сравнению откры- тых способов репозиции с чрескожными. В то же время в целом ряде публикаций серии случаев сообщается о хорошем качестве репозиции при применении чрескожных техник [21,25,26]. Мы предполагаем, что, если соблюдать определенные правила чрескожной репозиции при вдавленных переломах, хорошее и отличное положение отломков достижимо.…”

Section: Discussionunclassified

Comparison of Three Options for Treatment of Calcaneal Fracture

Kalensky

Каленский²,

Иванов

et al. 2018

Traumatology and Orthopedics of Russia

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Until now the problem of selecting a conservative or operative treatment option for calcaneal fractures and moreover the choice of the most optimal surgical procedure for such lesions have not been solved. Thus, comparative studies in this area is one of the most important tasks of the modern traumatology. Purpose of the study — to compare treatment outcomes, pattern and complications rate following the use of three treatment options for calcaneal fractures. Material and Methods. The authors analyzed treatment outcomes of 95 patients from 2013 till 2016. Mean age of patients was 39.04±12.51 years. Patients were divided into three groups: group 1 consisted of 41 patients with 54 fractures who underwent functional conservative treatment; group 2 consisted of 18 patients with 22 fractures treated by open reduction and plate fixation; group 3 consisted of 36 patients with 40 fractures treated by minimally invasive reduction and intramedullary fixation. Groups did not differ in respect of risk factors rate and rate of surgical risks under ABCDEF scale. Outcomes were evaluated basing on roentgenological criteria of reduction, complications rate and the functional scales FFI (Foot Function Index) and LEFS (Lower Extremity Functional Score). Results. Mean follow up was 20.8±9.0 months. Catamnesis was controlled in 68 out of 95 patients (71.6%). Variances were observed for all criteria of reduction quality between group 1 (no reduction) and groups 2 and 3. Groups 2 and 3 demonstrated similar criteria in respect of reduction quality of posterior articular surface, restoration of height and axis of calcaneus (р>0.05). FFI and LEFS scores in group 1 were inferior to results in groups 2 and 3 (р<0.05) at 6 and 12 months follow up. At 24 months follow up the variances persisted for mean values but were not statistically significant (р>0.05). No differences between groups 2 and 3 were observed during all follow up terms (р>0.05). Sum rate of complications in wound healing in group 2 was significantly higher than in groups 1 and 3 (р = 0.033). Conclusion. Any of the described options of surgical treatment resulted in an earlier functional restoration after calcaneal fractures as compared to conservative treatment. Reduction quality and late functional outcomes did not vary between the study groups, however, the rate of complications for wound healing in the group with open internal fixation was higher.

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Minimal-invasive Versorgung intraartikulärer Fersenbeinfrakturen mit dem 2‑Punkt-Distraktor

Abstract: Of 212 calcaneal fractures, 182 were treated with this technique. Wound healing complication rate was 2.7%; 4.7% of patients required secondary arthrodesis of the subtalar joint.

Cited by 10 publications

References 7 publications

The effect of a heel-unloading orthosis in short-term treatment of calcaneus fractures on physical function, quality of life and return to work – study protocol for a randomized controlled trial

The effect of a heel-unloading orthosis in short-term treatment of calcaneus fractures on physical function, quality of life and return to work – study protocol for a randomized controlled trial

Anatomical parameters of sustentaculum Tali screw placement in the Asian population: A retrospective radio-anatomical study

Comparison of Three Options for Treatment of Calcaneal Fracture

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