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Calcaneal fracture

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18 papers 100 to 500 followers
By Alex McKanna Podiatry Resident @ Franciscan Alliance/MWU based in Dyer, IN USA
Mohammad Ghorbanhoseini, Azadeh Ghaheri, Kempland C Walley, John Y Kwon
BACKGROUND: Intra-articular calcaneus fractures result in heel shortening, widening, varus malalignment, and loss of height. Little has been written regarding superior displacement of the calcaneal tuber, which warrants consideration as previous literature has demonstrated issues arising from a shortened triceps surae. We sought to determine the amount of tuber elevation seen in calcaneus fractures as compared to normal calcanei and propose 2 new measurements that aid in quantifying displacement and may aid in the surgical management of calcaneus fractures...
June 8, 2016: Foot & Ankle International
Abdellatif Benabbouha, Abdelouab Jaafar
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Brahman S Sivakumar, Peter Wong, Charles G Dick, Richard A Steer, Kevin Tetsworth
OBJECTIVES: To highlight a technique combining fluoroscopy and arthroscopy to aid percutaneous reduction and internal fixation of selected displaced intra-articular calcaneal fractures, assess outcome scores, and compare this method with other previously reported percutaneous methods. DESIGN: Retrospective review of all patients treated by this technique between June 2009 and June 2012. SETTING: A tertiary care center located in Brisbane, Queensland, Australia...
October 2014: Journal of Orthopaedic Trauma
Damian Griffin, Nick Parsons, Ewart Shaw, Yuri Kulikov, Charles Hutchinson, Margaret Thorogood, Sarah E Lamb
OBJECTIVE: To investigate whether surgery by open reduction and internal fixation provides benefit compared with non-operative treatment for displaced, intra-articular calcaneal fractures. DESIGN: Pragmatic, multicentre, two arm, parallel group, assessor blinded randomised controlled trial (UK Heel Fracture Trial). SETTING: 22 tertiary referral hospitals, United Kingdom. PARTICIPANTS: 151 patients with acute displaced intra-articular calcaneal fractures randomly allocated to operative (n=73) or non-operative (n=78) treatment...
July 24, 2014: BMJ: British Medical Journal
John Y Kwon, Daniel Guss, Darius E Lin, Mostafa Abousayed, Clifford Jeng, Steve Kang, J Kent Ellington
BACKGROUND: There are conflicting data regarding the benefits of delaying operative fixation of calcaneus fractures to decrease wound complication rates. The purpose of this study was to examine the effect of delaying fixation on wound complication rates as well as to identify other risk factors. METHODS: A retrospective review at 4 institutions, including 24 surgeons, identified 405 closed, operatively treated, intra-articular calcaneus fractures. We compared fractures with and without wound complications with regards to patient demographics, medical risk factors, fracture severity, time to fixation, operative approach, primary subtalar arthrodesis, and surgeon experience...
May 2015: Foot & Ankle International
Per-Henrik Agren, Per Wretenberg, Arkan S Sayed-Noor
BACKGROUND: We conducted a prospective, randomized, controlled multicenter trial to compare operative with nonoperative treatment of displaced intra-articular calcaneal fractures. METHODS: Eighty-two patients who presented to five trauma centers from 1994 to 1998 with an intra-articular calcaneal fracture with ≥2 mm of displacement (as verified by computed tomography) were randomized to operative or nonoperative treatment. Independent observers followed the two groups radiographically and clinically at one year and eight to twelve years...
August 7, 2013: Journal of Bone and Joint Surgery. American Volume
Richard Buckley, Ross Leighton, David Sanders, Jeffrey Poon, Chad P Coles, David Stephen, Elizabeth O Paolucci
OBJECTIVES: To compare long-term health outcome of Sanders type IV calcaneal fractures treated with open reduction and internal fixation (ORIF) versus ORIF plus primary subtalar arthrodesis (PSTA). DESIGN: Randomized prospective multicenter trial. SETTING: Four Level 1 trauma hospitals in Canada. PATIENTS: Thirty-one patients with 31 Sanders IV displaced intraarticular calcaneal fractures. INTERVENTION: Seventeen patients were treated with a standard protocol involving a lateral approach for ORIF...
October 2014: Journal of Orthopaedic Trauma
Manouk Backes, Niels W L Schep, Jan S K Luitse, J Carel Goslings, Tim Schepers
INTRODUCTION: High rates of postoperative wound infections (POWI) are reported following the operative treatment of calcaneal fractures. This leads to additional therapy, prolonged hospital stay, burden for patients and increased costs. The primary aim of this study is to evaluate the effect of POWI following the extended lateral approach of displaced intra-articular calcaneal fractures on functional outcome. Secondary aims are assessment of health-related quality of life and patient satisfaction...
August 2015: Archives of Orthopaedic and Trauma Surgery
Raymond J Walls, Jeremy Y Chan, Scott J Ellis
Surgical correction of hindfoot varus is frequently performed with a lateral displacement calcaneal osteotomy. It has rarely been associated with iatrogenic tarsal tunnel syndrome in patients with pre-existing neurological disease. We report the first case of acute postoperative tarsal tunnel syndrome in a neurologically intact patient with post-traumatic hindfoot varus. Early diagnosis and emergent operative release afforded an excellent clinical outcome. Imaging studies can help outrule a compressive hematoma and assess for possible nerve transection; however it is paramount that a high index of suspicion is utilized with judicious operative intervention to minimize long-term sequelae...
March 2015: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Marc D Jones, Kerry J Sweet, Zachary S Hoffer
Foreign bodies can be difficult to diagnose and should be considered in the differential diagnosis of unexplained pain, even in the absence of recalled trauma. We present the case of a 22-year-old male with a painful left heel. The patient did not recall a specific traumatic incident, and there were no clinical signs of trauma or infection. Plain films of the foot were nonrevealing, but magnetic resonance imaging revealed a sinus tract and left calcaneal defect. A biopsy of the calcaneal defect revealed viable woody material embedded and partially integrated with the surrounding bone...
January 2015: Journal of the American Podiatric Medical Association
Jungo Imanishi, Peter F M Choong
INTRODUCTION: The majority of patients with extremity sarcoma can be surgically treated without amputation. However, limb-salvage surgery for foot sarcomas including the calcaneus remains challenging. PRESENTATION OF CASE: A 71-year-old man presented with a 5-year history of right heel persistent pain. Imaging studies revealed an osteolytic, destructive and highly metabolic lesion in the right calcaneus. Computed tomography guided core needle biopsy confirmed the diagnosis of grade 2 chondrosarcoma...
2015: International Journal of Surgery Case Reports
Laksha Dutt, Valerie L Schade, Mark W Manoso
Chondroblastomas account for <2% of all bone tumors. The calcaneus is the fifth most common location of occurrence. Males in their second decade of life are most often affected, presenting with an insidious onset of localized pain, swelling, and tenderness. The finding of associated pathologic fracture has been rare. Imaging studies can aid in the formulation of the differential diagnosis and surgical plan. The definitive diagnosis requires histologic examination. Curettage and bone grafting is curative in >80% of cases...
March 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Douglas E Lucas, G Alexander Simpson, Gregory C Berlet, Terrence M Philbin, J Luke Smith
BACKGROUND: The calcaneal displacement osteotomy is frequently used by foot and ankle surgeons to correct hindfoot angular deformity. Headed compression screws are often used for this purpose, but a common complication is postoperative plantar heel pain from prominent hardware. We evaluated hardware removal rates after calcaneal displacement osteotomies and analyzed technical factors including screw size, position, and angle. We hypothesized that larger screws placed more plantarly would have been removed more frequently...
April 2015: Foot & Ankle International
Mandeep S Dhillon, Nitesh Gahlot, Siddharth Sharma
No abstract text is available yet for this article.
December 2014: Journal of Orthopaedic Trauma
John Y Kwon, David Zurakowski, J Kent Ellington
BACKGROUND: The purpose of this study was to determine whether obtaining a radiograph of the uninjured contralateral calcaneus (template) before surgery allowed for more precise restoration of Bohler's angle and calcaneal length when performing open reduction internal fixation (ORIF) of intra-articular calcaneus fractures. METHODS: Patients who sustained an intra-articular calcaneus fracture requiring surgery who met inclusion criteria were prospectively randomized into those who had a preoperative template obtained for review at the time of ORIF (group 1) versus those who had the contralateral radiograph obtained after surgery (group 2)...
January 2015: Foot & Ankle International
Troy J Boffeli, Kyle W Abben
Calcaneal fracture patterns vary widely, and many factors determine the type and timing of the treatment rendered. Severe calcaneus fractures involving joint damage, loss of heel height, and varus deformity of the tuberosity are ideally treated with open reduction and internal fixation to repair the joint surface and re-establish anatomic structure. This is not always possible owing to delayed presentation, soft tissue compromise, unrelated injuries, unstable medical condition, or lack of expertise by the treating physician...
November 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Stephanie C Sayres, Yang Gu, Samuel Kiernan, Bridget Ann DeSandis, Andrew J Elliott, Martin J O'Malley
BACKGROUND: The calcaneal osteotomy is a common procedure to correct hindfoot malalignment. Reported union rates are high, utilizing fixation methods including staples, plates, and most commonly cannulated screws. We began our practice using 6.5 mm and 7.3 mm cannulated screws, but complaints of postoperative posterior heel pain led to hardware removal in many patients. A switch to smaller 4.5 mm cannulated screws resulted in fewer symptoms, thus we hypothesized that using a smaller screw would decrease screw removal while maintaining an equally high union rate...
January 2015: Foot & Ankle International
Kangwu Chen, Hongtao Zhang, Genlin Wang, Yu Cheng, Zhonglai Qian, Huilin Yang
BACKGROUND: The optimal treatment of displaced intraarticular calcaneal fractures remains challenging. Currently, there is no uniform method to treat such fractures. The purpose of this study was to compare the radiographic and clinical outcome of nonlocking plates and locking plates in the treatment of intraarticular calcaneal fractures. METHODS: A retrospective comparative study was performed including 42 patients with intraarticular calcaneal fractures that were treated by nonlocking plate (n = 18) or locking plates (n = 24) between January 2010 and June 2012...
December 2014: Foot & Ankle International
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