Minimally invasive fixation for displaced intra-articular fractures of calcaneum: a short-term prospective study on functional and radiological outcome

Rachakonda, Kamalakar Rao; Nugur, Ashwani; Shekar, Nithya; Kidiyur, B; Kilaru, Praful; Gannamani, S; Joseph, Vinay Mathew

doi:10.1007/s12306-018-0575-3

Cited by 7 publications

(5 citation statements)

References 42 publications

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“…14 Percutaneous screw fixation with limited sinus tarsi incision had shown good functional and radiological outcome with minimal complications and can be undertaken without delay. 15 Reduction with Steinman pin was used in 9 patients. Though 3 patients had evidence of infection and 2 had delayed wound healing, these were less than skin complications reported with ORIF.…”

Section: Discussionmentioning

confidence: 99%

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Patel

Vala

2019

Int J Res Orthop

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Background: Calcaneal fractures account for 2% of all fractures with approximately 65-75% intra-articular. The aim of the present study is to determine the outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture in our institute.Methods: The present study was performed in 31 patients who underwent closed reduction and fixations with screw in this institute for the duration of 2 years were included in this study. Present study was conducted to determine the functional outcome of patients with calcaneal fractures treated with minimally invasive fixation of fractures with cancellous screws after indirect reduction with JESS or manual reduction or with Steinmen pin.Results: The average age of the patients was 44.14 years, ranging from 16 to 74 years, 28 patients were males and 3 were female. The AOFAS score at last follow up was 78.05 this improvement was also significant statistically (p<0.05). The mean Bohler angle at the last radiographic evaluation was 32.87°. The complications noted were proud implant with superficial wound infection in one, deep infection in 2 patients and delay in wound healing in 2 patients, persistent pedal edema in 2 patients.Conclusions: ORIF of calcaneal fractures is associated with high skin complications and comorbidities. Percutaneous screw fixation has fewer skin complications and can have satisfactory functional outcome. JESS or similar external fixator can be used intraoperatively for achieving reduction through ligamentotaxis.

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Section: Discussionmentioning

confidence: 99%

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Patel

Vala

2019

Int J Res Orthop

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“…A publicação de técnicas minimamente invasivas para reconstrução desta fratura (15,(24)(25)(26) , levou-nos a pensar na mudança de protocolo para o tratamento conservador. A ideia seria abordar este grupo de pacientes candidatos ao tratamento conservador na fase aguda, empregando técnicas percutâneas ou utilizando pequenas incisões, no intuito principalmente de devolver o formato anatômico ao calcâneo e reduzir o melhor possível a articulação talocalcânea, diminuindo o tamanho da cirurgia para correção…”

Section: Aofasunclassified

Conservative treatment of intra-articular calcaneal fracture

Lucena

Costa

2019

Sci J Foot Ankle

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Objective: To evaluate patients who received conservative treatment for a displaced intra-articular calcaneal fracture and to correlate the clinical-functional outcomes with the calcaneus shape measured using radiographs at the last outpatient visit. Methods: A retrospective study was performed with patients who suffered calcaneal bone fractures and were treated nonsurgically between 2006 and 2016. Radiographic (Böhler’s and Gissane’s angles, calcaneal width, talar declination angle, and calcaneal pitch) and clinical-functional parameters (American Orthopedic Foot and Ankle Society (AOFAS) and visual analog scale (VAS) pain scores and personal satisfaction) were evaluated. Results: We found no relationship between the measured angles and the clinical-functional outcomes. Conclusion: Despite the small number of cases evaluated in this study, the clinical-functional ankle and hindfoot AOFAS scale score was considered satisfactory in most cases. We found no relationship between the calcaneus shape measured using radiographic parameters and the clinical-functional outcome. Level of Evidence IV; Therapeutic Studies; Case Series

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“…In this procedure, the surgeon often performs closed reduction of the fracture or open reduction with a small incision, in conjunction with percutaneous fixation [3]. This has many advantages compared to open reduction internal fixation (ORIF) [4,5] including fewer incision-related complications [6], shorter duration of limb swelling [7], shorter recovery time [8], and lower rate of fixation failure [9].…”

Section: Introductionmentioning

confidence: 99%

Patient-specific instrument-assisted minimally invasive internal fixation of calcaneal fracture for rapid and accurate execution of a preoperative plan: A retrospective study

Wang

et al. 2020

BMC Musculoskelet Disord

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Background: Traditional methods for minimally invasive internal fixation (MIIF) of calcaneal fractures require extensive intraoperative fluoroscopy, and fracture recovery is usually not ideal. We developed a new surgical procedure using digital surgical simulation and constructed a patient-specific instrument (PSI) for calcaneal fracture that we used during the operation. This study investigated whether PSI-assisted MIIF of calcaneal fracture enables rapid and accurate execution of the preoperative plan. Methods: We retrospectively analyzed patients with Sanders type III or IV fresh calcaneal fractures who had undergone PSIassisted MIIF at our hospital from January 2016 to December 2018. We analyzed perioperative data including intraoperative fluoroscopy time, concurrence of internal fixation actual usage (IFAU) with the preoperative plan, surgery time, and complications. We also compared pre-and postoperative actual measurements from X-ray radiographs and computed tomography images including Böhler, Gissane, and calcaneus valgus angles; subtalar joint width; and calcaneal volume overlap ratio with the preoperative design. All patients had been followed up and their American Orthopedic Foot and Ankle Score (AOFAS) score was available. Results: Mean intraoperative fluoroscopy time was 3.95 ± 1.78 h; IFAU in 16 patients (16 ft) was the same as the preoperative plan; mean surgery time was 28.16 ± 10.70 min; and none of the patients developed complications. Böhler, Gissane, and calcaneus valgus angles and subtalar joint width did not differ between pre-and postoperative plans; however, the actual preoperative values of each of these parameters differed significantly from those measured postoperatively. The calcaneal volume overlap ratio with the preoperative design was 91.2% ± 2.3%. AOFAS scores increased with time, with significant differences in the score at each time point. Conclusions: The newly developed PSI-assisted calcaneal fracture MIIF method can rapidly and accurately execute the preoperative plan.

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Minimally invasive fixation for displaced intra-articular fractures of calcaneum: a short-term prospective study on functional and radiological outcome

Cited by 7 publications

References 42 publications

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study

Conservative treatment of intra-articular calcaneal fracture

Patient-specific instrument-assisted minimally invasive internal fixation of calcaneal fracture for rapid and accurate execution of a preoperative plan: A retrospective study

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