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Calcaneal fractures

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https://www.readbyqxmd.com/read/29202996/epidemiology-of-calcaneal-fractures-in-finland
#1
Heidi Haapasalo, Heikki-Jussi Laine, Heikki Mäenpää, Per Wretenberg, Pekka Kannus, Ville M Mattila
BACKGROUND: The purpose of this study was to assess the nationwide incidence (per 100,000 person-years) of operative treatment and hospitalization due to calcaneal fractures (CF) in Finland. METHODS: The study was based on the Finnish National Hospital Discharge Register. All patients aged 18-years or older admitted to Finnish hospitals for primary treatment of CF in 1987-2012 were included. RESULTS: During the 26-year study period 5977 patients were hospitalized with main or secondary diagnosis of a CF...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29182119/ia-comparison-of-two-minimally-invasive-procedures-for-intra-articular-displaced-calcaneal-fractures-in-older-children
#2
D Lu, S-Y Zhu, J Yang, H Chen, L-J Sun
The purpose of this study was to compare the clinical outcomes of displaced intra-articular calcaneal fractures in older children treated with poking reduction and cannulated screws fixation or with plate fixation using a sinus tarsi approach. From June 2008 to May 2012, fifty patients were randomised to operative stabilisation either by poking reduction and cannulated screws fixation (Group A, 28) or by plates fixation using a sinus tarsi approach (Group B, 22). The two groups were comparable with respect to age, gender, BMI, the affected side, cause of injury, fracture type, time from injury to surgery and follow-up time...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29162249/functional-outcome-after-calcaneus-fractures-a-comparison-between-polytrauma-patients-and-isolated-fractures
#3
Pablo Renovell-Ferrer, Xavier Bertó-Martí, José Diranzo-García, Luis Barrera-Puigdorells, Vicente Estrems-Díaz, Antonio Silvestre-Muñoz, Antonio Brú-Pomer
BACKGROUND: Displaced intra-articular calcaneal fractures (DIACFs) can have long-term consequences in terms of foot pain and disability. This injury frequently occurs in the context of polytrauma patients and its influence in long-term functional prognosis is well known. The purpose of this study is to compare the etiology, severity, and functional outcome of the operated DIACFs between polytrauma patients and isolated cases. METHODS: Eighty-six patients with operated displaced intra-articular calcaneal fractures through open reduction and internal fixation (ORIF) were managed at our institution between January 1, 2008 and December 31, 2015...
November 2017: Injury
https://www.readbyqxmd.com/read/29153287/avulsion-fracture-of-the-calcaneal-tuberosity-case-report-and-literature-review
#4
Thomas Rauer, Reto Twerenbold, Roman Flückiger, Valentin Neuhaus
Avulsion fractures of the calcaneal tuberosity are predominantly seen in patients with poor bone quality, the commonly used lag screw fixation might not be strong enough even with bony fragments of sufficient size. We present a case of a closed displaced avulsion fracture of the calcaneal tuberosity due to blunt trauma to the calf in a 74-year-old female. Open reduction and internal fixation with two 3.5-mm cannulated cortical screws with washers was performed, and anatomic reduction was achieved. Without further trauma, secondary displacement of the fracture occurred on day 3...
November 15, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29148842/erratum
#5
(no author information available yet)
Yao H, Lu H, Zhao H, et al. Open reduction assisted with an external fixator and internal fixation with calcaneal locking plate for intra-articular calcaneal fractures. Foot Ankle Int. 2017;38(10):1107-1114. (Original DOI: 10.1177/1071100717715908) The above article appeared with the incorrect corresponding author. The correct corresponding author is Huading Lu, PhD. The corrected corresponding author information is below: Corresponding Author: Huading Lu, PhD, Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-sen University, NO...
November 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29129315/fixation-methods-for-calcaneus-fractures-a-systematic-review-of%C3%A2-biomechanical-studies-using-cadaver-specimens
#6
REVIEW
Siem A Dingemans, Floris W Sintenie, Vincent M de Jong, Jan S K Luitse, Tim Schepers
Calcaneal fractures are notoriously difficult to treat and wound complications occur often. However, owing to the rare nature of these fractures, clinical trials on this subject are lacking. Thus, biomechanical studies form a viable source of information on this subject. With our systematic review of biomechanical studies, we aimed to provide an overview of all the techniques available and guide clinicians in their choice of method of fracture fixation. A literature search was conducted using 3 online databases to find biomechanical studies investigating methods of fixation for calcaneal fractures...
November 9, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29126042/successful-treatment-of-infected-wound-dehiscence-after-minimally-invasive-locking-plate-osteosynthesis-of-tibial-pilon-and-calcaneal-fractures-by-plate-preservation-surgical-debridement-and-antibiotics
#7
Giandavide Ieropoli, Jorge Hugo Villafañe, Silvia Chiara Zompi, Umberto Morozzo, Riccardo D'Ambrosi, Federico Giuseppe Usuelli, Pedro Berjano
OBJECTIVE: The aim is to present a case series that illustrates possible benefits from combining minimally invasive plate osteosynthesis (MIPO), plastic surgery and antibiotic therapy, in order to treat and eradicate infection in patients with tibial pilon or calcaneal fractures. METHODS: Eleven consecutive patients with dehiscence of the surgical wound in outcomes MIPO using a Locking Compression Plate (LCP) for tibial pilon, or calcaneus fractures. The patients had developed a documented infection of the surgical wound...
December 2017: Foot
https://www.readbyqxmd.com/read/29117238/tdf-and-quantitative-ultrasound-bone-quality-in-african-patients-on-second-line-art-anrs-12169-2lady-sub-study
#8
Firmin Nongodo Kabore, Sabrina Eymard-Duvernay, Jacques Zoungrana, Stéphanie Badiou, Guillaume Bado, Arsène Héma, Assane Diouf, Eric Delaporte, Sinata Koulla-Shiro, Laura Ciaffi, Amandine Cournil
BACKGROUND: Bone demineralization, which leads to osteoporosis and increased fracture risk, is a common metabolic disorder in HIV-infected individuals. In this study, we aimed to assess the change in bone quality using quantitative ultrasound (QUS) over 96 weeks of follow-up after initiation of second-line treatment, and to identify factors associated with change in bone quality. METHODS AND FINDINGS: In a randomized trial (ANRS 12169), TDF and PI-naïve participants failing standard first-line treatment, from Burkina Faso, Cameroon, and Senegal were randomized to receive either TDF/FTC/LPVr, ABC/ddI/LPVr or TDF/FTC/DRVr...
2017: PloS One
https://www.readbyqxmd.com/read/29116324/displaced-intra-articular-calcaneal-fractures-classification-and-treatment
#9
Ning Wei, Yabin Zhou, Wenli Chang, Yingze Zhang, Wei Chen
The calcaneus is the most commonly fractured tarsal bone. Displaced intraarticular calcaneal fractures are usually caused by a fall from height with one or both heels directly hitting the ground. Displaced intra-articular calcaneal fractures are complex and highly disabling injuries. There is ongoing debate regarding the optimal treatment for each type of displaced intra-articular calcaneal fracture. This review aims to summarize the classification of, various treatment options for, prevention of perioperative complications in, and management algorithms for displaced intra-articular calcaneal fractures...
November 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/29102369/2d-and-3d-assessment-of-sustentaculum-tali-screw-fixation-with-or-without-screw-targeting-clamp
#10
A Siebe De Boer, Esther M M Van Lieshout, Leonie Vellekoop, Simon P Knops, Gert-Jan Kleinrensink, Michael H J Verhofstad
INTRODUCTION: Precise placement of sustentaculum tali screw(s) is essential for restoring anatomy and biomechanical stability of the calcaneus. This can be challenging due to the small target area and presence of neurovascular structures on the medial side. The aim was to evaluate the precision of positioning of the subchondral posterior facet screw and processus anterior calcanei screw with or without a Screw Targeting Clamp. The secondary aim was to evaluate the added value of peroperative 3D imaging over 2D radiographs alone...
October 26, 2017: Injury
https://www.readbyqxmd.com/read/29095273/risk-factors-of-wound-infection-after-open-reduction-and-internal-fixation-of-calcaneal-fractures
#11
Jun Su, Xuecheng Cao
The aim of this study was to investigate the risk factors of wound infection after open reduction and internal fixation of calcaneal fractures.In all, 299 patients with 318 calcaneal fractures who underwent open reduction and internal fixation by a single surgeon were grouped according to different outcomes. We gathered the data on each patient including sex, age, injury mechanism, body mass index (BMI), time to operation, fracture type, associated injuries, treatment course, tourniquet time, blood loss, bone graft (yes or no), diabetes (yes or no), smoking history, and complications...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29079237/surgical-treatment-of-confirmed-intraosseous-lipoma-of-the-calcaneus-a-case-series
#12
Osman Emre Aycan, Abdi Keskin, Sami Sökücü, Devrim Özer, Fevziye Kabukçuoğlu, Yavuz Selim Kabukçuoğlu
Intraosseous lipoma of the calcaneus is a benign lesion formed by mature adipose tissue. When the lesion is symptomatic, the most frequent presentation is localized pain and soft tissue swelling. Because these lesions can regress spontaneously, conservative treatment methods are recommended. Operative excision is mostly required for painful lesions and pathologic fractures. The data from 14 patients with calcaneal intraosseous lipoma, who had undergone surgery in our clinic, were evaluated retrospectively. Using Milgram's classification system, 9 lesions were classified as stage 1, 4 as stage 2, and 1 as stage 3...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29057273/correlates-of-calcaneal-quantitative-ultrasound-parameters-in-patients-with-diabetes-the-study-on-the-assessment-of-determinants-of-muscle-and-bone-strength-abnormalities-in-diabetes
#13
Francesco Conti, Stefano Balducci, Luca Pugliese, Valeria D'Errico, Martina Vitale, Elena Alessi, Gerardo Salerno, Carla Iacobini, Stefano Menini, Lucilla Bollanti, Antonio Nicolucci, Giuseppe Pugliese
OBJECTIVE: Quantitative ultrasound (QUS) provides an estimate of bone mineral density (BMD) and also evaluates bone quality, which has been related to increased fracture risk in people with diabetes. This study aimed at assessing the correlates of calcaneal QUS parameters in diabetic subjects encompassing various degrees of micro and macrovascular complications and a wide-range of peripheral nerve function. METHODS: Four hundred consecutive diabetic patients were examined by QUS to obtain values of broadband ultrasound attenuation (BUA), the speed of sound (SOS), quantitative ultrasound index (QUI), and BMD...
2017: Journal of Diabetes Research
https://www.readbyqxmd.com/read/29052080/calcaneal-fractures-where-are-we-now
#14
REVIEW
Aisha Razik, Mark Harris, Alex Trompeter
This review article on the current management for calcaneal fractures discusses the advantages and disadvantages of different treatment options including the problems encountered. Controversies are described and the evidence reviewed. The management of some types of displaced intra-articular calcaneal fractures remains contentious; is there a preferred stabilisation method for each type of calcaneal fracture? How constant is the "constant fragment" in an intra-articular calcaneal fracture and what is the evidence for primary arthrodesis and what is its place in these fractures?...
October 20, 2017: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/29037927/short-term-outcomes-of-open-reduction-and-internal-fixation-for-sanders-type-iii-calcaneal-fractures-with-and-without-bone-grafts
#15
Hong Cao, Yun-Guang Li, Qing An, Bo Gou, Wei Qian, Xiao-Peng Guo, Ying Zhang
Calcaneal fractures, often caused by a fall from a height, are the most common injuries encountered by orthopedic surgeons. Currently, open anatomic reduction and internal fixation (ORIF) is considered a valuable treatment of displaced intraarticular fractures of the calcaneus; however, the need for bone grafting in the treatment is still controversial. Therefore, in the present study, we investigated the outcomes of 2 methods (with and without bone grafting) used for the surgical treatment of Sanders type III calcaneal fractures...
October 13, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28990838/3d-printing-calcaneal-fractures-continuously-improving-our-care-by-making-a-complex-problem-tangible
#16
Tim Schepers, Dominique Misselyn
Calcaneal fractures are amongst the most complex injuries known to man. Their intricate anatomy and extensive damage after trauma make them difficult to understand and treat. Most surgeons specialized in foot and ankle trauma agree that in most patients surgical managements yields the best result. Functional outcome is largely dependent on preventing complications and restoring anatomy. Reconstruction of height and suntalar joint congruency for example are both associated with improved outcome. Over the years insight in the complex (patho-)anatomy has increased...
October 9, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28961549/vertical-ground-reaction-forces-in-patients-after-calcaneal-trauma-surgery
#17
S van Hoeve, J Verbruggen, P Willems, K Meijer, M Poeze
INTRODUCTION: Vertical ground reaction forces (VGRFs) are altered in patients after foot trauma. It is not known if this correlates with ankle kinematics. The aim of this study was to analyze VGRFs in patients after calcaneal trauma and correlate them to patient-reported outcome measures (PROMs), radiographic findings and kinematic analysis, using a multi-segment foot model. In addition, we determined the predictive value of VGRFs to identify patients with altered foot kinematics. METHODS: Thirteen patients (13 feet) with displaced intra-articular calcaneal fractures, were included an average of two years after trauma surgery...
September 23, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28958825/evaluation-of-different-screening-tools-for-predicting-femoral-neck-osteoporosis-in-rural-south-indian-postmenopausal-women
#18
Kripa Elizabeth Cherian, Nitin Kapoor, Sahana Shetty, Dukhabandhu Naik, Nihal Thomas, Thomas V Paul
The measurement of bone mineral density by dual-energy X-ray absorptiometry scan is the "gold standard" for the diagnosis of osteoporosis, which has limited availability in many parts of India. This study was done to assess the diagnostic performance of 6 internationally validated tools (Simple Calculated Osteoporosis Risk Estimation [SCORE], age, bulk, one or never estrogen [ABONE], Osteoporosis Risk Assessment Instrument [ORAI] and Osteoporosis Self-Assessment Tool for Asians [OSTA], Fracture Risk Assessment Tool [FRAX®], and calcaneal quantitative ultrasound [QUS]) for the diagnosis of osteoporosis at the femoral neck (FN)...
September 25, 2017: Journal of Clinical Densitometry
https://www.readbyqxmd.com/read/28950107/comparison-between-the-gold-standard-dxa-with-calcaneal-quantitative-ultrasound-based-strategy-qus-to-detect-osteoporosis-in-an-hiv-infected-cohort
#19
Eugenia Quiros Roldan, Nigritella Brianese, Elena Raffetti, Emanuele Focà, Maria Chiara Pezzoli, Andrea Bonito, Alice Ferraresi, Paola Lanza, Teresa Porcelli, Francesco Castelli
INTRODUCTION: Osteoporosis represents one of the most frequent comorbidity among HIV patients. The current standard method for osteoporosis diagnosis is dual-energy X-ray absorptiometry. Calcaneal quantitative ultrasound can provide information about bone quality. The aims of this study are to compare these two methods and to evaluate their ability to screen for vertebral fracture. METHODS: This cross-sectional study was conducted in HIV patients attending the Clinic of Infectious and Tropical Diseases of Brescia during 2014 and who underwent lumbar/femoral dual-energy X-ray absorptiometry, vertebral fracture assessment and calcaneal quantitative ultrasound...
September 23, 2017: Brazilian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28936693/effects-of-intra-operative-fluoroscopic-3d-imaging-on-peri-operative-imaging-strategy-in-calcaneal-fracture-surgery
#20
M S H Beerekamp, M Backes, N W L Schep, D T Ubbink, J S Luitse, T Schepers, J C Goslings
INTRODUCTION: Previous studies demonstrated that intra-operative fluoroscopic 3D-imaging (3D-imaging) in calcaneal fracture surgery is promising to prevent revision surgery and save costs. However, these studies limited their focus to corrections performed after 3D-imaging, thereby neglecting corrections after intra-operative fluoroscopic 2D-imaging (2D-imaging). The aim of this study was to assess the effects of additional 3D-imaging on intra-operative corrections, peri-operative imaging used, and patient-relevant outcomes compared to 2D-imaging alone...
September 21, 2017: Archives of Orthopaedic and Trauma Surgery
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