Клінічні Аспекти Діагностики  Та Лікування Внутрішньосуглобових Переломів П’яткових Кісток

Kozopas, V.S.; Lobanov, V.G.; Siklitskyy, V.V.; Humenyuk, V.V.; Lytvynchuk, V.H.; Zhukovskyy, V.S.; Melnyk, Vlad

doi:10.22141/1608-1706.6.18.2017.121197

TRAUMA

2022

DOI: 10.22141/1608-1706.6.18.2017.121197

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Клінічні Аспекти Діагностики Та Лікування Внутрішньосуглобових Переломів П’яткових Кісток

V.S. Kozopas¹,

V.G. Lobanov²,

V.V. Siklitskyy³

et al.

Abstract: The clinical aspects of diagnosis and treatment of intra-articular calcaneal fractures Abstract. The analytical literature review discusses the issues of diagnosis and treatment of intra-articular calcaneal fractures. Author examined trends and directions of diagnosis and treatment: mechanogenesis, modern classifications, standards of survey, opportunities to optimize the provision of medical assistance to the victims with intra-articular calcaneal fractures. The analysis found that there is a problem of diagn… Show more

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Cited by 2 publications

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Minimally Invasive Surgical Techniques in Treatment of Intraarticular Calcuneus Fractures

Hoduadze¹,

Pelypenko²,

Malyk³

et al. 2023

Act. Probl. of the Modern Med.

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Introduction. Heel bone fractures make up about 2% of all skeletal fractures and almost 60% of injuries to the metatarsal part of the foot. According to the statistics, more than 75% of fractures are intra-articular ones. Conservative treatment of intra-articular fractures of the heel bone has limited indications and is recommended as an alternative in the presence of contraindications to the surgical treatment. Because of high risks of postoperative complications, the number of studies devoted to minimally invasive surgical treatment techniques has been increasing in recent years. The purpose of this work is to conduct a comparative analysis of the effectiveness of treatment of intra-articular fractures of the calcaneus bone using minimally invasive techniques. Materials and methods. The treatment outcomes of 33 patients (38 fractures) were analyzed. Patients were divided into 2 groups: the 1 group included individuals who underwent closed repositioning and fixation with cancellous screws, the 2 group included individuals who received minimally invasive open reduction through access to the subtalar sinus and fixation with an angular stability plate. Results. Differences in pain syndrome assessment by a visual analogue scale, oedema of the operated segment and quality of wound healing testified in favour of transcutaneous fixation with screws. The quality of life according to The Lower Extremity Functional Scale was assessed as good in both groups in 3 and 6 months following the surgical operation. Functionality of the foot according to the Foot Function Index scale in 3 and 6 months was interpreted as "good" and "excellent" in both groups, respectively. Conclusion. Depending on the type of intra-articular fracture, both minimally invasive techniques of surgical treatment of complicated calcaneus fractures enable to restore anatomical reduction, prevent a significant number of complications, reduce pain, promote wound healing and achieving the formation of a cosmetic postoperative scar, as well as improve quality of life in the postoperative period. Minimally invasive osteosynthesis with cancellous screws has advantages over osteosynthesis with plates according to separate performance evaluation criteria, but its use is limited by the biomechanical characteristics of the injury.

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Minimally Invasive Surgical Techniques in Treatment of Intraarticular Calcuneus Fractures

Hoduadze¹,

Pelypenko²,

Malyk³

et al. 2023

Act. Probl. of the Modern Med.

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Soft Tissue Complications in the Early Postoperative Period After Osteosynthesis of Calcaneu

Goduadze,

Pelypenko

2023

Act. Probl. of the Modern Med.

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Introduction. The complex anatomy and biomechanics of the calcaneal bone is an important component in stability of a lower extremity. According to the literature, calcaneus fractures occur in 2% of all skeletal bone fractures. The vast majority of such fractures (almost 75%) are intra-articular injuries resulting from high-energy trauma. The absolute majority of studies show the indisputable advantage of surgical tactics for the treatment of intra-articular fractures of the calcaneal bone in a remote period. Conservative treatment of displaced fractures, in turn, is considered as an alternative in cases where there are absolute contraindications to surgical treatment. An analysis of reliable sources demonstrates better long-term functional results in patients treated by applying minimally invasive techniques. To date, the question of the relationship between the choice of surgical treatment method and early postoperative complications from soft tissues remains not fully resolved. The purpose of this work is to analyze soft tissue complications in the early postoperative period after calcaneus osteosynthesis and to determine the relationship between the frequency of such complications and various methods of surgical treatment. Materials and methods. The treatment outcomes of 42 patients with displaced calcaneal fractures (47 fractures) were analyzed. Patients were divided into 3 groups depending on the surgical techniques used in the treatment: open direct reduction through an extended L-shaped approach followed by fixation with a plate, minimally invasive open reduction through access to the subtalar sinus followed by the fixation with a calcaneal mini-plate, closed reduction with transcutaneous cancellous screw fixation. Results. The main soft-tissue complications in the early postoperative period after calcaneus osteosynthesis among patients of different groups were recorded, and the relationship between the frequency of such complications and various methods of surgical treatment was established. Conclusion. The use of minimally invasive methods of surgical treatment for displaced calcaneus fracture prevents a number of early postoperative complications in soft tissues, promotes wound healing and prevents the development of secondary infectious complications.

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Клінічні Аспекти Діагностики Та Лікування Внутрішньосуглобових Переломів П’яткових Кісток

Cited by 2 publications

References 13 publications

Minimally Invasive Surgical Techniques in Treatment of Intraarticular Calcuneus Fractures

Minimally Invasive Surgical Techniques in Treatment of Intraarticular Calcuneus Fractures

Soft Tissue Complications in the Early Postoperative Period After Osteosynthesis of Calcaneu

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