Osteosynthesis of Displaced Intraarticular Fractures of the Calcaneus

Zwipp, H.; Tscherne, H.; Thermann, Hajo; Weber, Theresia

doi:10.1097/00003086-199305000-00011

Cited by 329 publications

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“…Our results also meet the international standards [4,6,16,18,25]. Among authors using the Creighton-Nebraska system, Crosby and Fitzgibbons report of 50% very good and 30% good outcomes, while Monsey et al had 30% very good and 26% good results in an homogenous group of patients with Sanders type II fractures [6,18].…”

Section: Discussionsupporting

confidence: 83%

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Large bone distractor for open reconstruction of articular fractures of the calcaneus

Grala

Twardosz

Tondel

et al. 2009

International Orthopaedics (SICOT)

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The results of operative treatment of two groups of patients with articular fractures of the calcaneus were evaluated. Twenty-three cases were treated surgically using a standard reconstruction procedure. In the second group of 19 patients a large bone distractor was used; it held the soft tissue flap retracted, while aiding in articular and tuberosity fragment reduction and increasing visualisation by distraction of the posterior talocalcaneal joint. After a year, the anatomical and functional results, together with the operative time, were evaluated. All fractures healed with good or very good anatomical results. All cases, except those with complications (n=3), achieved good (n=28) or very good (n = 11) functional scoring. The distractor group had significantly shorter operative times, and less manpower was needed during surgery. We conclude that the large bone distractor is a useful tool in open reconstruction of articular calcaneal fractures.

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Section: Discussionsupporting

confidence: 83%

“…We used standard inclusion criteria for the patients, operative approach and anatomical goal of the procedure [1,4,5,10,18,20,25]. Our results also meet the international standards [4,6,16,18,25].…”

Section: Discussionmentioning

confidence: 64%

Large bone distractor for open reconstruction of articular fractures of the calcaneus

Grala

Twardosz

Tondel

et al. 2009

International Orthopaedics (SICOT)

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“…[12][13][14][15] Reviews on this subject, however, have failed to demonstrate indisputable superior results of a single line of treatment for displaced intra-articular calcaneal fracture. 10,14,[16][17][18] The locking compression plate has improved the functional results, limited indications for bone grafting and shortened recovery time, i.e. decreased morbidity.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum

Kumar

Krishna²,

Singh³

et al. 2015

Journal of Clinical Orthopaedics and Trauma

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Locking calcaneal plate a b s t r a c t Background: Open reduction and internal fixation (ORIF) is the treatment of choice for displaced intra-articular calcaneal fracture at many orthopaedic trauma centres. In this prospective study, we evaluated the functional outcome and complications of locking compressive calcaneum plate for displaced intra-articular fracture calcaneum.Methods: Between October 2011 and March 2012, 30 patients with displaced intra-articular fracture calcaneum attending the outdoor and emergency of our institute were included in the study. All the included patients were operated using standard lateral approach and followed up to 1 year.Results: Of 30 patients, 14 (48%) patients were Sander's type II, 10 (33%) were type III, and 6 (20%) were type IV. All the patients were evaluated post-operatively. Articular surface of posterior facet of calcaneum and crucial angle of Gissane was maintained in all patients. Four patients had post-operative Boehler's angle <208 and 26 patients had between 218 and 408. All the patients having post-operative Boehler's angle <208 were type IV as compared to types II and III (statistically significant). Ninety-six percentage of patients having post-operative Boehler's angle 21-408 were more satisfied at 1 year as compared to 25% of patients having post-operative Boehler's angle <208 (statistically significant). Complications were present in 6 (20%) patients.Conclusion: ORIF with locking compressive plate in displaced intra-articular fracture calcaneum gives good outcome. Results are more favourable in less comminuted as compared to more comminuted. Maintenance of Boehler's angle is also necessary for satisfactory results along with maintenance of articular congruence of posterior facet of calcaneum and crucial angle of Gissane.

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“…Folk et al 14 reported a complication rate of 25% in 190 fractures. Zwipp et al 15 reported superficial wound edge necrosis in 8.3% of their cases. Buckley et al 12 showed a superficial wound complication rate of 17% and a deep infection rate of 5% in the operative group treated with open reduction and plate fixation.…”

Section: Discussionmentioning

confidence: 93%

Management of the displaced intra articular fracture calcaneum by open reduction & internal fixation with the locking calcaneum plate: A study

2020

IJOR

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Osteosynthesis of Displaced Intraarticular Fractures of the Calcaneus

Cited by 329 publications

References 0 publications

Large bone distractor for open reconstruction of articular fractures of the calcaneus

Large bone distractor for open reconstruction of articular fractures of the calcaneus

Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum

Management of the displaced intra articular fracture calcaneum by open reduction & internal fixation with the locking calcaneum plate: A study

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