Fractures and Dislocations of the Foot

Ishikawa, Susan N.

doi:10.1016/b978-0-323-07243-4.00088-8

Cited by 4 publications

(3 citation statements)

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“…A previous study suggested immobilization with a splint or cast for up to 6 weeks postoperatively, after which partial weight bearing should be started. 4 By contrast, other studies indicated that early weight bearing after surgery has no deleterious effect on clinical and radiologic outcomes of comminuted calcaneal fractures. Moreover, functional evaluations showed good values of American Orthopaedic Foot and Ankle Society (AOFAS) scores.…”

Section: Introductionmentioning

confidence: 96%

Do heel-unloading orthoses improve clinical outcomes in patients after surgical treatment of calcaneal fracture? A propensity-matched, multicenter analysis of the TRON database

Kagami

Tokutake

Takegami

et al. 2022

Prosthetics &Amp; Orthotics International

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Background:Postoperative protocols after surgical treatment of calcaneal fracture have not been standardized to date. There are only a few reports on the efficacy of heel-unloading orthoses (HUOs; Mars shoe, Graffin orthosis), and thier efficacy is uncertain.Objectives:The purpose of this study was to compare postoperative radiologic and clinical outcomes in patients with calcaneal fractures who used Graffin orthosis.Study design:Multicenter retrospective study.Methods:We finally extracted 182 patients from a database of the Trauma Research Group of Nagoya and divided them into two groups: group C (underwent casting or splinting only) and group O (Graffin orthosis was used). A propensity score algorithm was used to match group C to group O in a 1:1 ratio. We evaluated American Orthopaedic Foot and Ankle Society (AOFAS) score at three and six months after surgery and at final follow-up. Differences in reduction of the Böhler angle between the two groups were evaluated radiographically. All data were analyzed with a t-test or Fisher’s exact test. P < .05 was considered statistically significant.Results:The AOFAS score 3 months after surgery in group O was significantly higher than that in group C (69.57 vs. 77.22; P = .004). However, there were no statistically significant differences between group C vs. group O in AOFAS scores at 6 months after surgery and at final follow-up (81.92 vs. 85.67 and 89.18 vs. 88.13; P = .087 and 0.597, respectively). There was no significant statistical difference in the reduction of the Böhler angle (5.07 vs. 5.89; P = .529).Conclusions:At 3 months postoperatively, the orthosis group showed predominantly better functional results. We believe that heel-unloading orthoses are useful for patients who require an early return to work and to daily life.

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Section: Introductionmentioning

confidence: 96%

Do heel-unloading orthoses improve clinical outcomes in patients after surgical treatment of calcaneal fracture? A propensity-matched, multicenter analysis of the TRON database

Kagami

Tokutake

Takegami

et al. 2022

Prosthetics &Amp; Orthotics International

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“…There is much disagreement over the outcomes of nonoperative vs operative therapy. The absence of standardized findings has hindered the comparison of research assessing outcomes [11] . Over time, care techniques have significantly changed as our knowledge of the fracture has advanced.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the outcome of displaced intraarticular calcaneal fractures treated with locking plate fixation: An observational study

Singh,

Gupta

2024

Int. J. Orthop. Sci.

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The aim of the present study was to evaluate the functional and radiological outcome of intraarticular calcaneal fractures managed surgically with a plate in terms of bohler's and gissane's angle, rate of radiological union and AOFAS score. Methods: The Prospective study was conducted for the period of two years and a total of 50 patients with intra-articular calcaneal fractures who met the inclusion criteria were admitted, underwent necessary examinations, and were assessed for surgical suitability. Swelling was reduced by using a below knee slab with cotton padding, elevating the leg, and using an ice pack. Pre-operative x-rays of the lateral and axial views of the calcaneum, together with a CT scan of the calcaneum, were taken for pre-operative planning. Bohler's and Gissane's angles were measured pre-operatively. Results: Patients aged 18-60 with a mean age of 34.38 years were included in our research. The research included 88% male patients. This research found 64% right side engagement and 36% left side involvement. Falling from height caused the greatest injuries in the research group, followed by RTA. Our investigation found Sander's type II fractures most prevalent, followed by type IV. Type III was rarest. In all research participants, surgery was postponed until skin wrinkles appeared to prevent wound dehiscence and ensure proper wound closure. From injury until surgery, it took 4-14 days, averaging 7.8. Radiological union averaged 13.64 weeks in the research group. Difference between pre-and post-op mean Gissane's angle was significant (p< 0.01). Conclusion: Proper pre-operative planning, scheduling of surgery, surgeon's skill during the operation, and post-operative care are crucial factors for achieving successful surgical treatment of intra-articular fractures with a locking plate, resulting in improved outcomes and fewer problems.

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“…[3,4] The literature agrees that weight-bearing should be avoided roughly three months postoperatively due to the possible risk of collapsed talocalcaneal articular surface. [5,6] The introduction of locking plates in orthopedics has changed the biomechanical durability of bone and fracture. Although the advantages of locking plates on calcaneus fractures are controversial, many studies proved the superiority of locking plates over conventional constructions.…”

mentioning

confidence: 99%

The effect of early weight-bearing on comminuted calcaneal fractures treated with locking plates

Kayalı¹

2014

Eklem Hastalik Cerrahisi

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Fractures and Dislocations of the Foot

Cited by 4 publications

References 361 publications

Do heel-unloading orthoses improve clinical outcomes in patients after surgical treatment of calcaneal fracture? A propensity-matched, multicenter analysis of the TRON database

Do heel-unloading orthoses improve clinical outcomes in patients after surgical treatment of calcaneal fracture? A propensity-matched, multicenter analysis of the TRON database

Evaluation of the outcome of displaced intraarticular calcaneal fractures treated with locking plate fixation: An observational study

The effect of early weight-bearing on comminuted calcaneal fractures treated with locking plates

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