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Calcanous fracture

Karen L Perry, Robert J Adams, Samantha Woods, Mieghan Bruce
OBJECTIVE: To estimate the prevalence of complications and describe the outcome associated with calcaneal fractures in non-racing dogs and in cats. STUDY DESIGN: Retrospective multicenter clinical cohort study. ANIMALS: Medical records of client-owned dogs and cats (2004-2013). METHODS: Medical records were searched and 50 animals with calcaneal fractures were included for analysis. Complications were recorded and an outcome score applied to each fracture...
October 12, 2016: Veterinary Surgery: VS
Fatih Cesme, Sina Esmaeilzadeh, Aydan Oral
OBJECTIVES: The aim of this case-control study was to compare the discriminatory ability of bone mineral density (BMD) measurements and calcaneal quantitative ultrasound (QUS) parameters for fractures and to determine fracture thresholds for each variable in men with hip or distal forearm fractures. PATIENTS AND METHODS: A total of 20 men with hip and 18 men with distal forearm fractures and 38 age-matched controls were included in this study. Dual-energy X-ray absorptiometry (DXA) BMD (spine and hip) and calcaneal QUS measurements were made...
September 25, 2016: Acta Orthopaedica et Traumatologica Turcica
Thossart Harnroongroj, Thos Harnroongroj, Thongchai Suntharapa, Marut Arunakul
OBJECTIVE: The aim of this study was to develop a new calcaneal fracture classification system which will consider sustentacular fragment configuration and relation of posterior calcaneal facet to calcaneal body. METHODS: The new classification system used sustentacular fragment configuration and relation of posterior calcaneal facet fracture with fracture components of calcaneal body as key aspects of main types and subtypes. Between 2000 and 2014, 126 intraarticular calcaneal fractures were classified according to the new classification system by using computed tomography images...
September 22, 2016: Acta Orthopaedica et Traumatologica Turcica
Tyler Snoap, Matthew Jaykel, Cayla Williams, Jason Roberts
BACKGROUND: Calcaneal fractures are commonly seen and treated in the emergency department. There are subsets of calcaneal fractures that pose a high risk to the adjacent soft tissue of the heel and can result in full-thickness tissue necrosis. OBJECTIVE: To identify which calcaneal fractures need to be managed within hours and triaged to the orthopedic team and which can be temporized in a neutral or plantarflexed ankle splint and seen in an outpatient setting. DISCUSSION: Tongue-type calcaneal fractures and tuberosity fractures must be triaged appropriately within the first few hours of presentation to prevent skin compromise...
September 19, 2016: Journal of Emergency Medicine
W J M Sieverink, J W Duijff
A 70-year-old woman presented with symptoms resembling an Achilles tendon rupture. Careful examination revealed a large avulsion fracture of the calcaneal tuberosity. Successful screw osteosynthesis of this tongue-type fracture was performed. Such careful examination is paramount to prevent one from missing this fracture.
2016: Nederlands Tijdschrift Voor Geneeskunde
Stephen J Kriger, Shontal A Behan, Parth J Bhakta, Nicholas G Bruning, Brennan A Menninger, Mark C Razzante
INTRODUCTION AND OBJECTIVES: Due to its inert character and desired biocompatibility, titanium (Ti) implants have been universally accepted as safer alternatives to the previous conventional orthopedic hardware implants. However, a recent emergence of Type IV hypersensitivity reactions to Ti have displayed symptoms that include eczema, contact dermatitis, prolonged fever, sterile osteomyelitis, and impaired fracture and wound healing. The following case presents a patient with postoperative incision dehiscence and devascularization of cortical surfaces in contact with Ti hardware after undergoing a medial displacement calcaneal osteotomy and a first metatarsal-cuneiform arthrodesis...
September 2016: Journal of the American Podiatric Medical Association
Louis V DeFazio, Guido A LaPorta
INTRODUCTION AND OBJECTIVES: Calcaneal fractures are a serious injury with significant associated morbidity. Bilateral calcaneal fractures complicate issues even further, due to the physical disability that the patient is left with. One of the major issues with any calcaneal fracture is the risk of soft tissue compromise caused by the traumatic nature of the injury. A percutaneous approach allows the soft tissue envelope to remain viable, while still fixating the fractures. The purpose of this presentation is to highlight the use of percutaneous repair, the role of external fixation in calcaneal fractures, and lastly discuss the outcome for this particular patient...
September 2016: Journal of the American Podiatric Medical Association
Ying Li, Rong-Hua Bao, Zhi-Qiang Jiang, Huo-Yan Wu
OBJECTIVE: The purpose of this study focused on a number of factors that have been implicated in calcaneal complications and find the incidence of wound complications. METHODS: This was a retrospective study. A total of 162 patients (176 feet) who underwent calcaneal fractures between 2007 and 2012 were included. The patient's personal details, age, time from injury to surgery, cause of injury, type of fracture, operative details, operating and tourniquet times were collected from hospital computers and paper records...
July 2016: Pakistan Journal of Medical Sciences Quarterly
Oskar Ragnarsson, Penelope Trimpou, Göran Oleröd, Kerstin Landin-Wilhelmsen
OBJECTIVE: Abnormal secretion of thyroid hormones, growth hormone, cortisol and androgens influences body composition. We hypothesised that higher cortisol excretion, in combination with higher androgen and IGF-I concentrations, had a synergistic, favourable effect on body mass and bone. DESIGN, PATIENTS AND METHODS: This was a cross-sectional study on a population sample of 290 women and 93men. The mean age was 65.4±7.2yearsinwomen and 59.7±10.0yearsinmen. Body composition was assessed with bioimpedance, and skeletal health with calcaneal quantitative ultrasound and fracture rate...
November 2016: Steroids
Osama Gamal, Ahmed Shams, Ahmad El-Sayed Semaya
Intra-articular fracture of the calcaneus is one of the most displeasing fractures if not properly managed. Open reduction and internal fixation have been associated with a high incidence of postoperative soft tissue complications. Closed reduction and percutaneous fixation have resulted in a greater incidence of postoperative subtalar osteoarthritis with improper reduction of the articular surface. In the present study, a mini-open approach was used in cases of failure of articular surface restoration with closed reduction...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Christos Koutserimpas, George Magarakis, Grigoris Kastanis, George Kontakis, Kalliopi Alpantaki
: Calcaneal fractures are complex injuries with high complication rates and they can lead to serious disability. The proper management remains controversial and complications may occur regardless of the chosen type of treatment (operative or nonoperative). The present article reviews the studies that are related to the complications of calcaneal fractures. The incidence, the diagnosis, the prevention and the treatment of these complications were researched and analyzed, with the use of PubMed database, abstracts and original articles in English than investigate the etiology...
September 9, 2016: Foot & Ankle Specialist
Lian-Hua Li, Yong-Zhi Guo, Hao Wang, Qing-Hua Sang, Jian-Zheng Zhang, Zhi Liu, Tian-Sheng Sun
BACKGROUND: We conducted a prospective randomized clinical trial to compare the clinical and radiological outcomes of the sinus tarsi and extended lateral approaches for the surgical treatment of displaced intraarticular calcaneal fractures. METHODS: Between January 2009 and January 2014, patients with displaced intraarticular calcaneal fracture were randomly assigned to receive surgical treatment by the sinus tarsi approach or the extended lateral approach using block randomization...
September 2016: Medicine (Baltimore)
B Li, G Wu, Y Yang
PURPOSE: To compare the outcome following conservative or surgical treatment for displaced fracture of the medial process of the calcaneal tuberosity. METHODS: 14 men and 4 women aged 20 to 44 years chose to undergo conservative (9 feet) or surgical (10 feet) treatment by a single surgeon for closed displaced fracture of the medial process of the calcaneal tuberosity. The injury mechanism was a fall from a height of <1.5 m; the mean time from injury to treatment was 3 (range, 1-7) days...
August 2016: Journal of Orthopaedic Surgery
Sander van Hoeve, Martijn Poeze
Percutaneous and minimally invasive open techniques for the treatment of calcaneal fractures are now frequently used with good results, although a comparison between these different techniques has not yet been performed. The aim of the present review was to search for studies evaluating the outcomes of patients after treatment with percutaneous and minimally invasive open techniques for calcaneal fractures. A search was performed using PubMed/MEDLINE, Embase, and the Cochrane Library. Studies from the previous 15 years in English were included...
August 20, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Carlo Biz, Elia Barison, Pietro Ruggieri, Claudio Iacobellis
BACKGROUND: Open reduction with internal fixation (ORIF) and percutaneous surgery (PS) are the most common surgical procedures for the treatment of displaced intra-articular calcaneal fractures. The purpose of this retrospective study was to compare the clinical and radiological results of these techniques and to verify the prognostic value of the radiographic measurement tools proposed in the literature. METHODS: A consecutive series of 104 calcaneal fractures was included in this analysis...
2016: Journal of Orthopaedic Surgery and Research
Christina Roll, Johanna Schirmbeck, Franz Müller, Carsten Neumann, Bernd Kinner
BACKGROUND: The interpretation of CT scans for the evaluation of calcaneal fractures is difficult. Three-dimensional (3D) reconstruction (volume rendering technique [VRT]) has been valuable in the evaluation of irregularly shaped bones. However, their value for the analysis of calcaneal fractures is still debated. Therefore, the objective of this study was to assess the effect of additional use of 3D CTs in calcaneal fractures. METHODS: In a prospective multicenter study, the CT data set of 5 different fractures was presented to 57 evaluators...
August 16, 2016: Foot & Ankle International
N Vasukutty, V Kumar, M Diab, W Moussa
This is a retrospective review of 80 intra-articular calcaneal fractures treated with open reduction and internal fixation by a specialist team under supervision of a single surgeon in a tertiary centre between 2005 and 2014. The fractures were evaluated with plain radiography and computed tomography, and graded using the Eastwood-Atkins classification. A lateral approach was used and all fractures were fixed with calcaneal plates. All patients had clinical and radiological follow-up. Clinical assessment included foot and ankle disability index, SF-36(®) and Kerr-Atkins scores...
August 11, 2016: Annals of the Royal College of Surgeons of England
Xiao-yu He, Chao-qiang Wang, Zhi-ping Zhou
OBJECTIVE: To investigate the clinical efficacy of cannulated screw fixation with percutaneous Poking reduction for the treatment of Sanders II, III calcaneal fracture. METHODS: From January 2012 to January 2014, 19 patients with Sanders II, III calcaneal fracture were treated with cannulated screw fixation with percutaneous Poking reduction. There were 14 males and 5 females, ranging in age from 19 to 58 years old, with an average age of (38.3 +/- 4.1) years old...
May 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Ewe Juan Yeap, Jaynesthra Rao, Chee Huan Pan, Shahrul Aiman Soelar, Alistair S E Younger
BACKGROUND: This study compares the outcomes of calcaneal fracture surgery after open reduction internal fixation and plating (ORIF) versus arthroscopic assisted percutaneous screw fixation (APSF). METHODS: Group I (N=12) underwent ORIF. Group II (N=15) underwent APSF. Anthropometric data, pre and post-operative stay, complications and duration off work were recorded in this retrospective case cohort study. Radiographs were analyzed for Bohler's, Gissane's angle and Sanders' classification...
September 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
S Giannini, M Cadossi, M Mosca, G Tedesco, A Sambri, S Terrando, A Mazzotti
The optimal treatment of calcaneal fractures (CF) is currently controversial and is still under debate. It is well established that conservative treatment of these fractures is associated with poor results. Several surgical techniques are described in the literature; however, there is no consensus on which of these is more effective. The main goals of surgery are to restore the subtalar joint congruence, and calcaneal width, height, shape and alignment, thus avoiding medial and lateral impingement and enabling the patient to resume a normal lifestyle...
August 1, 2016: Injury
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