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Calc fx

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21 papers 0 to 25 followers
Kenneth Badillo, Jose A Pacheco, Samuel O Padua, Angel A Gomez, Edgar Colon, Jorge A Vidal
As the largest tarsal bone and the most inferior bone in the body, the calcaneus is responsible for supporting the axial load from the weight of the body. It is most commonly fractured after a fall from a height in which axial loads exceed its support capacity. Calcaneal fractures account for 60% of all tarsal fractures. Conventional radiography is commonly used for initial evaluation of calcaneal injury but has the typical disadvantages of two-dimensional imaging. Modern assessment of calcaneal fractures relies heavily on multidetector computed tomography (CT), which allows better visualization and characterization of fracture lines and fragment displacement...
January 2011: Radiographics: a Review Publication of the Radiological Society of North America, Inc
R De Groot, A J Frima, T Schepers, W H Roerdink
BACKGROUND AND AIM: Open reduction and internal fixation (ORIF) of intra-articular calcaneal fractures through an extended lateral approach is frequently accompanied by a high complication rate. However, ORIF currently provides the best long-term clinical results. The aim of this study was twofold: (1) to evaluate both mid- to long-term clinical and radiological results of a consecutive series treated by ORIF and (2) to determine the influence of short-term complications on long-term clinical outcome...
November 2013: Injury
Berdine Bakker, Jens A Halm, Esther M M Van Lieshout, Tim Schepers
PURPOSE: Although the predictive value of Böhler's angle on outcome remains subject of debate, the initial angle at the time of trauma still guides treatment. Changes in Böhler's angle during follow-up are frequently reported following surgical treatment of displaced intra-articular calcaneal fractures (DIACF). The aim of the present study was to determine the changes in Böhler's angle as a measure of secondary fracture displacement following conservative management of DIACF. METHODS: Thirty-eight patients with a total of 44 displaced intra-articular calcaneal fractures treated conservatively with a minimum of two lateral radiographs during follow-up were analysed...
December 2012: International Orthopaedics
Manouk Backes, Niels W L Schep, Jan S K Luitse, J Carel Goslings, Tim Schepers
INTRODUCTION: Implant removal following operative calcaneal fracture treatment has received little attention in the literature. The aim of the current retrospective cohort study was to assess the indications and number of wound complications following calcaneal plate removal. METHODS: All consecutive adult patients who had their plate and screws removed following the operative treatment of a closed uni- or bilateral intra-articular calcaneal fracture using a stainless steel nonlocking calcaneal plate between 2000 and 2011 were included...
November 2013: Foot & Ankle International
Sophia Reinhardt, Heiner Martin, Benjamin Ulmar, Stefan Döbele, Hans Zwipp, Stefan Rammelt, Martinus Richter, Martin Pompach, Thomas Mittlmeier
BACKGROUND: Open reduction and internal fixation with a plate is deemed to represent the gold standard of surgical treatment for displaced intra-articular calcaneal fractures. Standard plate fixation is usually placed through an extended lateral approach with high risk for wound complications. Minimally invasive techniques might avoid wound complications but provide limited construct stability. Therefore, 2 different types of locking nails were developed to allow for minimally invasive technique with sufficient stability...
August 2016: Foot & Ankle International
Hans Zwipp, Libor Paša, Luboš Žilka, Michael Amlang, Stefan Rammelt, Martin Pompach
OBJECTIVES: To reduce the complication rate associated with open reduction and internal fixation of displaced intraarticular calcaneal fractures through extensile approaches, a locking nail system (C-Nail) was developed for internal fixation. DESIGN: Prospective case-control study. SETTING: Two level I trauma centers (university hospital) and 1 large regional hospital in the Czech Republic and Germany. PATIENTS: One hundred three patients (89 male and 14 female; mean age, 45...
March 2016: Journal of Orthopaedic Trauma
N Gusic, I Fedel, N Darabos, Z Lovric, N Bukvic, B Bakota, D Lemac
INTRODUCTION: Management of the intraarticular calcaneal fracture is a challenge. The optimal method of treatment remains controversial. This study evaluates the anatomical and functional postoperative outcomes of displaced intraarticular calcaneal fractures that have been treated using three different techniques of ORIF. PATIENTS AND METHODS: Between 2004 and 2011 we treated 143 patients with calcaneal fractures, 40 of these patients (28%) were treated conservatively...
November 2015: Injury
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...
October 2016: Injury
Ahmed Abdelazeem, Ahmed Khedr, Mostafa Abousayed, Ahmed Seifeldin, Sherif Khaled
PURPOSE: Evaluation of management of the displaced intra-articular calcaneal fractures (DIACF) Sanders types II and III by using minimally invasive sinus tarsi approach and fixation by screws only technique. METHODS: Open reduction using the limited lateral approach and internal fixation using screws only was studied in 33 patients with unilateral isolated simple DIACF with a mean age of 35 years (15 type II patients and 18 type III patients). All patients were evaluated both clinically and radiologically...
March 2014: International Orthopaedics
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
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
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
Trevor Gaskill, Karl Schweitzer, James Nunley
BACKGROUND: Internal fixation is an accepted treatment for displaced fractures of the calcaneus. Operative intervention in older patients, however, is traditionally discouraged in the literature. The purpose of this study was to compare the outcomes of internal fixation of intra-articular fractures of the calcaneus on the basis of patient age. METHODS: One hundred and seventy-five patients (191 fractures) who underwent internal fixation between 1992 and 2007 for a displaced, intra-articular calcaneal fracture were identified...
December 15, 2010: Journal of Bone and Joint Surgery. American Volume
Wayne Berberian, Amit Sood, Briette Karanfilian, Robert Najarian, Sheldon Lin, Frank Liporace
BACKGROUND: The sustentacular fragment in displaced intra-articular calcaneal fractures has historically been portrayed as a "constant fragment," bound to the talus by the interosseous and deltoid ligament complex. Operative treatment typically occurs through a lateral approach, with the remaining calcaneus being reconstructed back to the sustentaculum. We hypothesized that the sustentacular fragment in displaced intra-articular calcaneal fractures does not maintain its relationship to the talus...
June 5, 2013: Journal of Bone and Joint Surgery. American Volume
Qiang Wang, Xiaolei Li, Yu Sun, Lianqi Yan, Chuanzhi Xiong, Jingcheng Wang
This study was aimed to compare the outcomes of two operational methods used for the fixation of calcaneal fracture, the open reduction using a plate and the minimally invasive cannulated screw fixations. Thus, we attempted to find out as to which of these fixation regimens was therapeutically superior by assessing improvement in the restoration of foot functioning and estimating the biochemical indices that reflect bone recovery. A total of 492 calcaneal fracture patients admitted in our hospital from February, 2008 to February, 2012 were selected for the study and randomly divided into two groups of 246 cases each...
May 2015: Cell Biochemistry and Biophysics
Sander van Hoeve, Jim de Vos, Jan P A M Verbruggen, Paul Willems, Kenneth Meijer, Martijn Poeze
BACKGROUND: Calcaneal fractures are associated with substantial morbidity and socioeconomic impact, frequently leading to limited functional outcome and high economic costs. The Oxford foot model (OFM) has been reported as a valid addition to the biomechanical examination of the foot. The aim of our study was to analyze the gait of patients after operative repair of a calcaneal fracture in relation to functional outcome and radiographic findings. METHODS: Thirteen patients with a calcaneal fracture underwent gait analysis with OFM at a minimum of six months after open surgery...
November 18, 2015: Journal of Bone and Joint Surgery. American Volume
John J Stapleton, Thomas Zgonis
Most intra-articular calcaneal fractures are a result of high-energy trauma. The operative management of calcaneal fractures has been based on achieving anatomic reduction and minimizing complications of the compromised soft tissue envelope. The traditional extensile lateral approach offers advantages of achieving adequate fracture reduction with the risk of wound-healing complications and infection. Limited open reduction and internal fixation techniques with or without using external fixation focuses on achieving fracture reduction with less risk of wound complications but higher risk of malunion...
October 2014: Clinics in Podiatric Medicine and Surgery
Tao Zhang, Yanling Su, Wei Chen, Qi Zhang, Zhanpo Wu, Yingze Zhang
BACKGROUND: The optimal treatment for displaced intra-articular fractures of the calcaneus remains controversial. This study aims to assess the clinical outcomes of a minimally invasive longitudinal approach compared with the sinus tarsi approach in the surgical treatment of these fractures. METHODS: Patients with a displaced intra-articular fracture of the calcaneus who were admitted to the trauma center of our hospital from September 2009 through April 2010 were randomly assigned to treatment using one of these two surgical techniques...
February 19, 2014: Journal of Bone and Joint Surgery. American Volume
2016-07-02 16:56:08
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