Use of intramedullary locking nail for displaced intraarticular fractures of the calcaneus: what is the evidence?

Bernasconi, Alessio; Iorio, Paolino; Ghani, Yaser; Argyropoulos, Miltiadis; Patel, Shelain; Barg, Alexej; Smeraglia, Francesco; Balato, Giovanni; Welck, Matthew

doi:10.1007/s00402-021-03944-7

Cited by 9 publications

(8 citation statements)

References 52 publications

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“…Use of intramedullary locking device (ILD) as minimal invasive technique to treat displaced intraarticular fracture was developed for reducing complications. Bernasconi et al [ 15 ] reported treating displaced intraarticular calcaneal fracture with ILD leads to satisfactory clinical outcomes. However, complication rates ranged between 5 and 30%, with wound infection, nerve entrapment symptoms, metalware irritation, and CRPS.ILD produced favorable clinical outcomes, but complications are still a problem.…”

Section: Discussionmentioning

confidence: 99%

Assessment of clinical outcomes after reduction of depressed calcaneal fractures using the push-out molding technique

Choi¹,

Bae²

2023

Heliyon

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Section: Discussionmentioning

confidence: 99%

Assessment of clinical outcomes after reduction of depressed calcaneal fractures using the push-out molding technique

Choi¹,

Bae²

2023

Heliyon

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“…Biomechanically, both commercially available ILDs achieve satisfactory primary stability and in terms of absolute values and when compared to locking plates 26,28 . From a clinical standpoint, after using ILDs partial weightbearing can be allowed after an average of 3 weeks, with short-term AOFAS-AHS and VAS scores similar to more 'traditional' surgery but with a reduced trauma for soft tissues 39,40 . From the radiographic viewpoint, surgery utilising ILDs restores a Böhler angle close to reference values (between 22° and 50°) 40 , comparing well with values obtained after the extensile lateral approach (between 24° and 31°) 40 .…”

Section: Discussionmentioning

confidence: 99%

Intramedullary nailing for calcaneal fractures: what are the available techniques? A review of the literature

et al. 2022

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Objective. Displaced intra-articular fractures of the calcaneus (DIACF) may be treated in several ways. In recent years, intramedullary locking devices (ILD) have been proposed with the aim to reduce complications and improve long-term results. In this regard, we have reviewed the literature in order to identify devices currently available and evaluate their characteristics. Methods. Following a PRISMA checklist, Medline, Scopus and EMBASE databases were searched to identify studies reporting use of ILDs to treat DIACFs. In this review, only technical notes were included. Manuscripts selected were critically analysed in order to highlight common points and differences among surgical techniques. Results. Overall, four technical notes dealing with ILDs were found, of which two concerned the Calcanail® (FH Orthopedics, Heimsbrunn, France) and two the C-Nail® implant (Medin, Nov. Město n. Moravě, Czech Republic). While the Calcanail® is stabilised by two screws and allows indirect reduction of the posterior facet, the C-Nail® involves direct visualisation of the joint space and use of multiple multi-directional screws to achieve final stabilisation. Conclusions. Although similar in the design, the Calcanail® and the C-Nail® lead to the reduction and stabilisation of fragments through different mechanisms. In both cases the restoration of heel height and anatomical reduction of the subtalar joint are the primary goals of surgery.

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“…Existe gran disparidad en relación con los resultados obtenidos. 1 3 6 16 39 En los últimos años, ha estado en uso el espaciador de hidrogel de alcohol de polivinilo (Cartiva, Inc., Alpharetta, GA, EEUU), que actuaría como cartílago sintético en la cabeza del primer metatarsiano, pero el seguimiento a corto y mediano plazo 40 41 42 sólo entrega recomendaciones limitadas sobre el beneficio de su uso, como es, en general, en las técnicas de hemiartroplastias, sin estar libre de complicaciones como subsidencia y fragmentación del implante, infección y osteólisis. 43…”

Section: Técnicas No Preservativas ( Fig 6 )unclassified

“…There is great disparity in relation to the results obtained. 1 3 6 16 39 In recent years, the polyvinyl alcohol hydrogel spacer (Cartiva, Inc., Alpharetta, GA, US) has been used, which would act as synthetic cartilage in the head of the first metatarsal bone, but the short- and medium-term follow-ups 40 41 42 only provide limited recommendations on the benefit of its use, as it is, in general, in hemiarthroplasty techniques, and it is not free of complications such as implant subsidence and fragmentation, infection, and osteolysis. 43…”

Section: Non-joint-sparing Techniques ( Fig 6 )mentioning

confidence: 99%

Hallux rigidus: Conceptos actuales

Ferrada

Villanueva

Hernández³

2022

Revista Chilena de Ortopedia y Traumatología

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ResumenEl hallux rigidus es una causa frecuente de consulta traumatológica, y es la artrosis más frecuente del pie. Se presenta clínicamente con dolor y pérdida de movimiento de la primera articulación metatarsofalángica, con impacto en la calidad de vida del paciente. El tratamiento comienza de forma conservadora, y tiene éxito en la mitad de los casos, con medidas, que incluyen modificación del calzado, manejo del peso y ortesis, diseñadas para limitar el movimiento de esta articulación. El tratamiento quirúrgico en pacientes con hallux rigidus leve a moderado se centra en eliminar los osteofitos dorsales con una queilectomía, que se puede asociar a una osteotomía de falange proximal o del primer metatarsiano, lo que mejora el rango de movimiento hacia un arco menos doloroso. En el hallux rigidus de alto grado, lo más aconsejado es la artrodesis, la cual proporciona alivio del dolor al costo de alterar la biomecánica de la marcha, dada la rigidez adquirida. Distintas artroplastias (resección, interposición, o protésicas) mejoran el dolor significativamente sin sacrificar movilidad, siendo una alternativa más fisiológica, que preserva la biomecánica del pie en pacientes seleccionados.

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Use of intramedullary locking nail for displaced intraarticular fractures of the calcaneus: what is the evidence?

Cited by 9 publications

References 52 publications

Assessment of clinical outcomes after reduction of depressed calcaneal fractures using the push-out molding technique

Assessment of clinical outcomes after reduction of depressed calcaneal fractures using the push-out molding technique

Intramedullary nailing for calcaneal fractures: what are the available techniques? A review of the literature

Hallux rigidus: Conceptos actuales

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