Surgical Treatment of Calcaneal Fractures of Sanders Type II and III by a Minimally Invasive Technique Using a Locking Plate

Cao, Liehu; Weng, Weizong; Shen, Song; Mao, Ningfang; Li, Haihang; Cai, Yuanqi; Zhou, Qirong; Su, Jiacan

doi:10.1053/j.jfas.2014.09.003

Cited by 36 publications

(29 citation statements)

References 20 publications

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“…This result seemed to be comparable with, but not higher than, that of previous studies [6, 7]. We believe that this may be attributed to the small sample size (18 vs 33) and shorter follow-up (9.3 ± 3.7 vs 21 ± 8.9 months) [2]. …”

Section: Discussionsupporting

confidence: 86%

“…In line with the simple and convenient procedure for placing our plate, the operative time was obviously reduced in our study when compared with previous studies (64.4 ± 8.0 vs 69 ± 14.6 min [2]; 64.4 ± 8.0 vs 122.15 ± 8.32 [5]), which may possibly further decrease the infection rate and promote fracture healing, resulting in a shorter hospital stay. Furthermore, it had also been demonstrated that the radiation exposure time in our study was dramatically shorter than that in the study by Cao et al [2] (13.0 ± 3.5 s vs 3.6 ± 0.5 min).…”

Section: Discussionsupporting

confidence: 74%

“…Furthermore, it had also been demonstrated that the radiation exposure time in our study was dramatically shorter than that in the study by Cao et al [2] (13.0 ± 3.5 s vs 3.6 ± 0.5 min). Thus, the use of our plate may prevent radiation-associated toxicity in surgeons and patients, further indirectly demonstrating the safety of our procedure.…”

Section: Discussioncontrasting

confidence: 43%

“…According to the results of the computed tomography (CT) scanning, the calcaneal fractures can be classified into four categories, among which the Sanders types II and III fractures are the most common types [1]. Thus, the development of effective and safe treatment strategies for these two fracture types has always been a hot issue among orthopaedic surgeons [2]. …”

Section: Introductionmentioning

confidence: 99%

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Minimally invasive (sinus tarsi) approach for calcaneal fractures

Wang

Wang²,

et al. 2016

J Orthop Surg Res

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BackgroundAccording to the anatomic characteristics of the calcaneus and the sinus tarsi approach, we designed a combined plate. The goal of this study was to retrospectively assess the functional outcomes and complications of treatment with our self-designed plate.MethodsFrom March 2014 to October 2015, 18 patients with closed calcaneal fractures (14 Sanders type II and 4 type III) were treated with our combined locking plate through a minimally invasive sinus tarsi approach. All patients underwent both clinical and radiological evaluations.ResultsThe follow-up duration for all patients ranged from 6 to 13.5 months. The radiographs demonstrated significant corrections of the calcaneal width, length, height, Böhler angle, and Gissane angle from preoperatively to 3 months postoperatively and the last follow-up. However, there were no significant differences in the variables between 3 months postoperatively and the last follow-up. The mean Maryland foot score was 88.1 ± 8.8, in which excellent outcomes were achieved in 11 patients, good in 4, and fair in 3 (excellent and good rate, 83.3% (15 of 18)). No statistical significances in the mean Maryland foot score (88.1 ± 8.8 vs 87.8 ± 10.1, p = 0.9), and the excellent and good rate (85.7 vs 75.0%, p = 1.0) was found between type II and type III fractures. No complications were observed in all fractured feet.ConclusionTreatment with our self-designed combined plate through a sinus tarsi approach may be safe and effective for type II and type III calcaneal fractures.Electronic supplementary materialThe online version of this article (doi:10.1186/s13018-016-0497-4) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 74%

Section: Discussioncontrasting

confidence: 43%

Section: Introductionmentioning

confidence: 99%

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Minimally invasive (sinus tarsi) approach for calcaneal fractures

Wang

Wang²,

et al. 2016

J Orthop Surg Res

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“…This results in better hindfoot mobility, higher functional scores, a shorter recovery period, and a lower incidence of complications compared with ORIF. [19] In the current study, closed reduction and percutaneous fixation with two oblique Schanz pins were used for DICFs, with minimal wound problems in a short operation time even in patients with smoking addiction, diabetes mellitus, obesity, drug abuse, and elder age.…”

Section: Discussionmentioning

confidence: 98%

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Baca

Koluman

2019

Eklem Hastalik Cerrahisi

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ÖZ Amaç: Bu çalışmada deplase eklem içi kalkaneus kırıklarının hızlı, daha az karmaşık ve modifiye edilmiş perkütan bir teknikle cerrahi olarak tedavisinin sonuçları değerlendirildi. Hastalar ve yöntemler: Bu retrospektif çalışmaya Mayıs 2012 ve Haziran 2016 tarihleri arasında kliniğimize kalkaneus kırığı nedeniyle başvuran ve iki çapraz Schanz vidası ile kapalı redüksiyon ve perkütan tespit kullanılarak ameliyat edilen 114 hasta (86 erkek, 28 kadın; ort. yaş 39 yıl; dağılım, 16-66 yıl) dahil edildi. Travma tipi, ek yaralanmalar, tıbbi komorbiditeler, ameliyat öncesi ve sonrası dönem, ameliyat süresi, kemik iyileşmesine kadar geçen süre, komplikasyonlar, ameliyat sonrası fonksiyonel ve radyolojik sonuçlar değerlendirildi. Bulgular: Ameliyat sonrası Bohler açısı ölçümlerindeki artış ameliyat öncesi değerlere kıyasla istatistiksel olarak anlamlı idi (p= 0.001; p<0.01). Sanders sınıflamasına göre yedi ayak (%5.3) tip II, 76 ayak (%57.57) tip III ve 49 ayak (%37.12) tip IV idi. Ortalama Amerikan Ortopedik Ayak-Ayak Bileği Derneği (AOFAS) skoru 80.4 (dağılım, 47-92) idi. Sanders sınıflamasına göre ortalama AOFAS skorları tip II için 81.25, tip III için 81.88 ve tip IV için 80.19 idi. Ortalama ameliyat süresi 8±1.5 dakika idi. Sonuç: Modifiye perkütan teknik ile açık redüksiyonun kontrendike olduğu durumlarda bile iyi sonuçlar alınabilir. Dizilimin sağlanması ve çökmüş eklem içi parçanın yükseltilmesi, anatomik redüksiyon olmadan iyi orta dönem sonuçları için yeterli olabilir. Anahtar sözcükler: Kalkaneus kırığı, eklem içi kırık, minimal invaziv cerrahi, perkütan tespit. ABSTRACTObjectives: This study aims to review the results of surgically treated displaced intra-articular calcaneal fractures with a fast, less complicated, and modified percutaneous technique. Patients and methods: This retrospective study included 114 patients (86 males, 28 females; mean age 39 years; range, 16 to 66 years) admitted to our clinic for calcaneal fractures between May 2012 and June 2016 and operated using closed reduction and percutaneous fixation with two crossed Schanz pins. Trauma type, additional injuries, medical comorbidities, pre-and postoperative period, duration of operation, time to bone healing, complications, postoperative functional and radiological results were evaluated. Results: The increase in the postoperative Bohler's angle measurements was statistically significant compared to preoperative values (p= 0.001; p<0.01). According to Sanders classification, seven feet (5.3%) were type II, 76 feet (57.57%) were type III, and 49 feet (37.12%) were type IV. The mean American Orthopaedic Foot and Ankle Society (AOFAS) score was 80.4 (range, 47 to 92). According to Sanders classification, the mean AOFAS scores were 81.25 for type II, 81.88 for type III, and 80.19 for type IV. Mean duration of operation was 8±1.5 minutes. Conclusion: Modified percutaneous fixation can give good results, even when open reduction is contraindicated. Maintaining the alignment and elevating the depressed intraarticular fragment may be sufficient fo...

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Minimally Invasive Treatment of Intra-articular Calcaneal Fractures

Large

Cohen

2020

Fractures and Dislocations of the Talus and Calcaneus

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Surgical Treatment of Calcaneal Fractures of Sanders Type II and III by a Minimally Invasive Technique Using a Locking Plate

Cited by 36 publications

References 20 publications

Minimally invasive (sinus tarsi) approach for calcaneal fractures

Minimally invasive (sinus tarsi) approach for calcaneal fractures

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Minimally Invasive Treatment of Intra-articular Calcaneal Fractures

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