Hindfoot Arthrodesis for Management of Bone Loss Following Calcaneus Fractures and Nonunions

Molloy, Andy; Lipscombe, S.

doi:10.1016/j.fcl.2010.12.008

Cited by 15 publications

(14 citation statements)

References 56 publications

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“…The heterogeneity of the studies was estimated by I 2 statistic value. Three articles did the sensitivity analyses or subgroup analysis according to methodological quality, whereas the other two did not (Table 6).…”

Section: Resultsmentioning

confidence: 99%

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Comparison of sinus tarsi approach and extensile lateral approach for calcaneal fractures: A systematic review of overlapping meta-analyses

Xiong

Kang

et al. 2020

J Orthop Surg (Hong Kong)

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Purpose: Accumulated literature has reported the comparative efficacy of the sinus tarsi approach (STA) and the extensile lateral approach (ELA) for the treatment of calcaneal fractures (CFs). However, the best alternative treatment for CF is still inconsistent. Herein, the present systematic review of overlapping meta-analyses aims to achieve an evident conclusion by performing a comprehensive reanalysis of previous meta-analyses regarding the comparison of the STA and the ELA. Methods: We searched several databases, including Pubmed, Medline, Embase, the Cochrane Library, SpringerLink, Clinical Trials.gov , OVID, and CNKI for the meta-analyses comparing the STA and the ELA for the treatment of CF. All related meta-analyses of randomized controlled trials and cohort studies were included. Two researchers independently assessed the quality of the articles and extracted the data. The Jadad decision algorithm was used to evaluate the evidence of the articles. Results: Ultimately, five meta-analyses were included in the present study. The Assessment of Multiple Systematic Reviews scores of these articles ranged from 5 to 9 with a median of 7. The analysis of best quality, Bai 2018, was selected based on the Jadad algorithm. In this article, the significant differences were found in wound complications and operating time, recovery of Böhler’s angle, the American Orthopaedic Foot and Ankle Society scores, and the visual analog scale. Conclusion: The clinical relevance of the present study is that both the STA and the ELA are effective in alleviating pain and improving functionality in the treatment of CF. However, due to a shorter operation duration and lower complication rates, the STA was indicated to be a superior alternative for CF treatment.

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Section: Resultsmentioning

confidence: 99%

“…Calcaneal fracture (CF) is one of the most common fractures of the tarsal, accounting for approximately 60% of all tarsal fractures and 2% of all adult fractures. 1,2 In all CFs, displaced intra-articular fractures represent about 60–75%. 3 Falling injuries represent the most common cause for CFs.…”

Section: Introductionmentioning

confidence: 99%

Comparison of sinus tarsi approach and extensile lateral approach for calcaneal fractures: A systematic review of overlapping meta-analyses

Xiong

Kang

et al. 2020

J Orthop Surg (Hong Kong)

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“… 17 Falls from a height and motor-vehicle accident are the major cause of these large force compression injuries, causing widening of the heel, loss of heel height, and large amounts of articular surface displacement. 18 , 19 Although not life-threatening, these injuries may result in permanent disability. Open reduction and internal fixation has been established as a standard therapy for calcaneal fractures with good to excellent results.…”

Section: Discussionmentioning

confidence: 99%

Management and associated factors of complications in operative fixation of calcaneal fractures

Liu¹,

Bao²,

Jiang³

et al. 2016

Pak J Med Sci

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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. Evidence of complications including wound infection, wound necrosis, pain, malunion, nonunion, impingement, loss of fixation, ect were studied.Results:Forty-seven of one hundred and seventy-six fractures (26.704%) had complications, wound infection was noted in seven fractures (3.977%), twelve fractures developed necrosis (6.818%), 14 fractures (7.955%) developed pain. Malunion was found in five fractures (2.841%), nonunion in two fractures (1.136%) and loss of fixation in four fractures (2.272%). Three neurologic injury was also seen in our study (1.705%). Operating time, time from injury to surgery and type of fracture had some association with complications in operative fixation of calcaneal fractures, which showed a statistically significant improvement (P=0.000, 0.031, 0.020, respectively), but there were no evidence that age and tourniquet time affect the incidence of complication after calcaneal fracture surgery (P=0.119, 0.682, respectively).Conclusions:Despite developments in the surgical treatment of calcaneal fracture, wound complications still remain inevitable. Advanced imaging techniques, less invasive surgical procedures, wealth of anatomical knowledge, surgical experience and better postoperative care should be ensured.

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“…In the short and long terms, both types of procedures have complications, including superficial and deep infection, nonunion, malunion, neurovascular injury, complex regional pain syndrome, asymptomatic and symptomatic arthritis development in adjacent joints, and hardware prominence and failure requiring secondary procedures. [5][6][7][8][9][10][11]13,14,17,18,22,27,[30][31][32][33][34][35][36][37][38] SUMMARY After conservative measures have failed, both arthroscopic and open subtalar joint arthrodesis techniques can successfully be used to treat conditions causing pain, deformity, or both. Each technique has its own set of indications, contraindications, and complications.…”

Section: Bothmentioning

confidence: 99%

“…In general, an open approach to subtalar joint arthrodesis is preferred for conditions involving large hindfoot deformity or malalignment, significant bone loss of the talus or calcaneus, prior subtalar joint nonunion or malunion, and cases requiring large bone grafting. 2,[6][7][8][9][10][15][16][17][18] Open subtalar joint arthrodesis is particularly useful in treatment of calcaneus fracture malunion; in addition to posttraumatic arthritis caused by articular cartilage injury, these injuries often heal with loss of calcaneal height, varus, heel widening with subsequent calcaneal-fibular impingement and peroneal tendon and sural nerve irritation, anterior ankle impingement caused by loss of normal talus declination, and calcanealcuboid joint impingement. 5,9 Surgical techniques to address these sequelae that are not possible with an isolated arthroscopic approach include decompression of the lateral wall of the calcaneus, distraction bone-block arthrodesis of the subtalar joint to restore calcaneal height, bone grafting to address large amounts of bone loss, and corrective osteotomies, all of which can be performed in concert with an open subtalar arthrodesis (Fig.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

Subtalar Joint Arthrodesis

Roster

Kreulen

Giza

2015

Foot and Ankle Clinics

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Hindfoot Arthrodesis for Management of Bone Loss Following Calcaneus Fractures and Nonunions

Cited by 15 publications

References 56 publications

Comparison of sinus tarsi approach and extensile lateral approach for calcaneal fractures: A systematic review of overlapping meta-analyses

Comparison of sinus tarsi approach and extensile lateral approach for calcaneal fractures: A systematic review of overlapping meta-analyses

Management and associated factors of complications in operative fixation of calcaneal fractures

Subtalar Joint Arthrodesis

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