Osteomyelitis of the Calcaneus With Pathologic Fracture

Brucato, Maryellen P.; Wachtler, Matthew F.; Nasser, Ellianne M.

doi:10.1053/j.jfas.2018.09.016

Cited by 11 publications

(4 citation statements)

References 16 publications

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“…We really appreciated the work by Brucato et al (1) concerning calcaneal pathological fractures. The authors took into consideration papers edited by now, rightly pointing to the poor documentation and the complexity of the disease.…”

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confidence: 84%

Osteomyelitis of the Calcaneus with Pathologic Fracture

Torre

Monti

2020

The Journal of Foot and Ankle Surgery

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confidence: 84%

Osteomyelitis of the Calcaneus with Pathologic Fracture

Torre

Monti

2020

The Journal of Foot and Ankle Surgery

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“…However, complications following ORIF should not be neglected and osteomyelitis is one of the possible sequelae of calcaneus injury (7). Osteomyelitis is a challenging complication that composes 3-11% of all bone infections (8).…”

Section: Introductionmentioning

confidence: 99%

“…Osteomyelitis is a challenging complication that composes 3-11% of all bone infections (8). Even though the treatment of osteomyelitis has been standardized as surgical debridement, intravenous antibiotic therapy, and/ or reconstruction (7), it can still lead to devastating disorders like loss of function, altered gait, partial or total calcanectomy, amputation, and even more severe, death (9). It is critical to prevent the occurrence of osteomyelitis proactively, thus leading us to retrospectively study 127 hospitalized patients diagnosed with calcaneus osteomyelitis following ORIF after closed calcaneus fracture (March 2016 to August 2019).…”

Section: Introductionmentioning

confidence: 99%

The epidemiology and clinical features of calcaneus osteomyelitis following calcaneus fracture: a retrospective study of 127 cases

Huang¹,

Guo²,

Zhu³

2021

Ann Palliat Med

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Background: To analyze the epidemiology and features of calcaneus osteomyelitis following open reduction and internal fixation (ORIF) after closed calcaneus fracture.Methods: We retrospectively analyzed 127 cases who were diagnosed with calcaneal osteomyelitis following ORIF via the extended lateral "L-shaped" approach after closed calcaneus fracture between March 2016 and August 2019 in our hospital. We analyzed participant demographics including gender, age, body mass index (BMI), trauma mechanism, Sanders classification, co-morbidity, time between initial injury and surgery, operating time, soft tissue stripping tools, tourniquet pressure, bone grafting option, internal fixation option, presence of bleeding after tourniquet deflation, and drainage option.Results: The majority of cases (n=127) were male (4.5 times more than female gender), at a ratio of 4.47:1.Falling from height was the main trauma mechanism (79.53%), followed by traffic accident (14.17%), and jumping (6.3%). A total of 51 cases (40.16%) were left-side fractures, and 76 (59.84%) were right-sided.According to the Sanders classification, 12 cases were type II (9.45%), 61 cases were type III (48.03%), and 54 cases were type IV (42.52%). There were 25 participants with the co-morbidity of type 2 diabetes mellitus (19.69%), 7 with hypertension (5.51%), and 1 case each of psoriasis and sicca syndrome (0.8%). The mean time to surgery was 4.7 days (4-9 days), and 123 participants (96.85%) were treated within 7 days. The mean operating time was 102.1 min (75-135 min). Forty-four participants (34.65%) received the conventional scalpel and 83 participants (65.35%) the electric scalpel during soft tissue stripping intraoperatively. The mean tourniquet pressure was 432.3 mmHg (350-550 mmHg). Autologous bone grafting was observed in 6 cases (4.72%), allograft bone grafting in 11 cases (8.67%), and OsteoSet grafting in 7 cases (5.51%).A locking plate was used in 114 cases (89.76) while anatomical plate in 13 cases (10.24%). A total of 27 participants (21.26%) bled after tourniquet deflation. Drainage tubes were applied in 30 participants (23.62%) while rubber drainage strips in 5 participants (3.94%).Conclusions: Young males dominated the calcaneus osteomyelitis following traumatic calcaneus fracture cohort in this study. A fall from height was the most frequent trauma mechanism. The presence of severe calcaneus fracture, Sanders type III (48.03%) and type IV (42.52%), were the common fracture types in this population group.

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“…3 Likewise, B-hemolytic group B streptococcus, diphtheroid bacillus, and Enterococcus faecalis have all been reported in calcaneus fractures in adults. 4 Staphylococcus aureus, group B β-hemolytic streptococcus, S. pyogenes, and Streptococcus pneumoniae are the most frequent pathogens in the pediatric population.…”

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confidence: 99%