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Calcaneal fracture

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https://www.readbyqxmd.com/read/27908492/fragility-fractures-of-the-ankle-in-the-elderly-open-reduction-and-internal-fixation-versus-tibio-talo-calcaneal-nailing-short-term-results-of-a-prospective-randomized-controlled-study
#1
D Georgiannos, V Lampridis, I Bisbinas
INTRODUCTION: The management of ankle fractures in the elderly remains unpredictable, secondary to their various co-morbidities. Although tibiotalocalcaneal (TTC) nailing has been an effective option for ankle arthrodesis due to ankle arthritis or Charcot arthropathy there are few reports regarding the use of TTC nail for the treatment of ankle fractures. PURPOSE: Aim of this study was to compare the results of ORIF versus TTC nailing for the treatment of unstable ankle fractures in the elderly...
November 17, 2016: Injury
https://www.readbyqxmd.com/read/27903928/restoring-the-anatomy-of-calcaneal-fractures-a-simple-technique-with-radiographic-review
#2
James M Cottom, Joseph S Baker
: Displaced, intra-articular fractures of the calcaneus result in gross deformity of the hindfoot, which must be reduced during surgical fixation. Described techniques aimed at restoring the normal anatomy of the calcaneus have mostly been focused on percutaneous methods, which are not without complication. Described in this report is a method of anatomic reduction during open reduction and internal fixation of these injuries, which uses a lamina spreader to simultaneously reduce calcaneal varus, restore calcaneal height, reduce the subtalar joint, and restore normal calcaneal width...
November 30, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27886687/current-controversies-in-management-of-calcaneus-fractures
#3
REVIEW
Heather E Gotha, Jacob R Zide
Displaced intraarticular fractures of the calcaneus represent a technically challenging injury. Although there is conflicting evidence regarding advantages and disadvantages of operative versus nonoperative treatment, a growing body of literature suggests operative management with near-anatomic reduction of the posterior facet and restoration of overall calcaneal morphology offers greater potential for superior short- and long-term outcomes. A thorough understanding of calcaneal anatomy, fracture pattern, and associated injuries, along with careful selection of surgical approach and timing to surgery are critical to minimize the risk of complication and maximize potential for optimal outcomes...
January 2017: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/27864559/effect-of-calcaneus-fracture-gap-without-step-off-on-stress-distribution-across-the-subtalar-joint
#4
Brett Barrick, Donald A Joyce, Frederick W Werner, Maria Iannolo
BACKGROUND: Subtalar arthritis is a common consequence following calcaneal fracture, and its development is related to the severity of the fracture. Previous calcaneal fracture models have demonstrated altered contact characteristics when a step-off is created in the posterior facet articular surface. Changes in posterior facet contact characteristics have not been previously characterized for calcaneal fracture gap without step-off. METHODS: The contact characteristics (peak pressure, area of contact, and centroid of pressure) of the posterior facet of the subtalar joint were determined in 6 cadaveric specimens...
November 18, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27857507/patient-satisfaction-after-open-reduction-and-internal-fixation-through-lateral-extensile-approach-in-displaced-intraarticular-calcaneal-fractures-sander-s-type-ii-and-iii
#5
Khatri Kavin, Sharma Vijay, Lakhotia Devendra, Farooque Kamran
AIM: To determine patient satisfaction in the patients of displaced intraarticular calcaneal fractures treated with standard lateral approach. METHOD: The patients of displaced calcaneal fractures (Sander's type II and III) treated between March 2009 and March 2012 were included in the retrospective review and functional outcome was evaluated using American Orthopaedic Foot and Ankle Society (AOFAS) hind foot score, Creighton Nebraska Health Foundation Assessment (CNHFA) scale and foot function index (FFI)...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27852648/percutaneous-reduction-and-screw-fixation-of-displaced-intra-articular-fractures-of-the-calcaneus
#6
Saran Tantavisut, Phinit Phisitkul, Brian O Westerlind, Yubo Gao, Matthew D Karam, John L Marsh
BACKGROUND: Extensile open approaches to reduce and fix intra-articular calcaneal fractures are associated with high levels of wound complications. To avoid these complications, a technique of percutaneous reduction and fixation with screws alone was developed. This study assessed the clinical outcomes, radiographs, and postoperative CT scans after operative treatment with this technique. METHODS: 153 consecutive patients with 182 intra-articular calcaneal fractures were reviewed...
November 15, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27852383/-surgery-of-ipsilateral-hawkins-%C3%A2-talus-neck-and-ankle-joint-fractures-via-internal-and-lateral-approaches-with-herbert-screws
#7
P Zhang, Q R Dong, Z Y Wang, B Chen, J H Wan, L Wang
Objective: To explore the manual operation skills of operative treatment of ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures via internal and lateral approaches with Herbert screws, and to study the clinical results. Method: From Jan 2009 to Dec 2014, the clinical data of 13 patients with ipsilateral Hawkins Ⅲ talus neck and ankle joint fractres via internal and lateral approaches with Herbert screws were retrospectively analyzed in our department.There were 10 males and 3 female, ranging in age from 20 to 60 years with an average age of 31...
November 8, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27805313/the-effect-of-inhaled-corticosteroids-on-bone-mineral-density-measured-by-quantitative-ultrasonography-in-an-older-population
#8
Ghulam Sarwar, Alessandra Bisquera, Roseanne Peel, Stephen Hancock, Christopher Grainge, John Attia
INTRODUCTION: Prolonged use of systemic corticosteroids leads to reduced bone mineral density and osteoporosis, in turn increasing the risk of minimal trauma fractures with their associated morbidity and mortality in elderly populations. However, the effect of inhaled corticosteroids on bone mineral density has been debated in the medical literature. OBJECTIVES: We aimed to determine the effect of inhaled corticosteroids on bone mineral density measured using calcaneal quantitative ultrasonography in a cohort of older Australians...
November 2, 2016: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27791971/functional-outcomes-after-operative-treatment-of-calcaneal-fractures-midterm-review
#9
Michael A Del Core, Emily Mills, Lisa K Cannada, David E Karges
The purpose of this article is to report midterm follow-up of operatively treated calcaneus fractures. All patients with a calcaneus fracture, treated with open reduction and internal fixation (ORIF) using the extensile lateral approach, were identified. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society's (AOFAS) ankle-hindfoot assessment, SF-36, and a questionnaire. There were 20 patients (25 fractures): 16 males and four females. The average age was 42 years (range, 16-73 years) and the mean follow-up time was 40 months (range, 13-73 months)...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27773371/circular-frame-fixation-for-calcaneal-fractures-risks-injury-to-the-medial-neurovascular-structures-a-cadaveric-description
#10
Tom Esparon, Callum M Thomson, Paul M Rea, Bilal Jamal
AIM: There is a risk of iatrogenic injury to the soft tissues of the calcaneus and this study assesses the risk of injury to these structures in circular frame calcaneal fracture fixation. MATERIALS AND METHODS: After olive tip wires were inserted, an L-shaped incision on the lateral and medial aspects of 5 formalin fixed cadaveric feet was performed to expose the underlying soft tissues. The calcaneus was divided into zones corresponding to high, medium and low risk using a grading system...
December 2016: Injury
https://www.readbyqxmd.com/read/27731518/calcaneal-fractures-in-non-racing-dogs-and-cats-complications-outcome-and-associated-risk-factors
#11
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
https://www.readbyqxmd.com/read/27680751/discriminative-ability-of-calcaneal-quantitative-ultrasound-compared-with-dual-energy-x-ray-absorptiometry-in-men-with-hip-or-distal-forearm-fractures
#12
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
https://www.readbyqxmd.com/read/27666140/the-new-intra-articular-calcaneal-fracture-classification-system-in-term-of-sustentacular-fragment-configurations-and-incorporation-of-posterior-calcaneal-facet-fractures-with-fracture-components-of-the-calcaneal-body
#13
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
https://www.readbyqxmd.com/read/27658550/calcaneus-fractures-a-possible-musculoskeletal-emergency
#14
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
https://www.readbyqxmd.com/read/27650025/-a-woman-with-a-painful-ankle-after-a-sprain
#15
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
https://www.readbyqxmd.com/read/27649405/type-iv-cell-mediated-hypersensitivity-reaction-caused-by-titanium-implant-following-medial-displacement-calcaneal-osteotomy-and-first-metatarsal-cuneiform-arthrodesis
#16
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
https://www.readbyqxmd.com/read/27649404/minimally-invasive-repair-of-bilateral-calcaneal-fractures-with-unilateral-external-fixation-a-case-report
#17
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
https://www.readbyqxmd.com/read/27648028/complications-in-operative-fixation-of-calcaneal-fractures
#18
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
https://www.readbyqxmd.com/read/27639100/urinary-free-cortisol-and-androgens-in-the-population-hormone-interactions-and-the-relationship-with-body-composition-and-bone-status
#19
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
https://www.readbyqxmd.com/read/27614826/a-protocol-for-percutaneous-transarticular-fixation-of-sanders-type-ii-and-iii-calcaneal-fractures-with-or-without-an-added-mini-open-approach
#20
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
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