Intra-articular fractures of the calcaneum. Part II: Open reduction and internal fixation by the extended lateral transcalcaneal approach

Eastwood, DM; Langkamer, V.G.; Atkins, R. M.

doi:10.1302/0301-620x.75b2.8444935

Cited by 133 publications

(78 citation statements)

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“…Another important problem about evaluating patients with calcaneus fracture is not having a score to determine the outcomes [11][12][13][14]. Contemporarily Maryland and AOFAS foot evaluating scales are applied usually [8].…”

Section: Discussionmentioning

confidence: 99%

The effect of treatment protocol on calcaneus bone mineral densitometry after intra-articular calcaneal fractures

et al. 2016

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Objectives. To identify the effect of treatment protocol on calcaneus bone mineral density of calceneal fractures treated with different methods. Methods. Sixty-three patients with intra-articular calcaneal fractures were observed prospectively. Patients were classified according to their treatment protocols such as; conservative treatment with short leg plaster cast (Group C), closed reduction and fixation with cannulated screws (Group S) and open reduction internal fixation with plate and screws (Group P). All patients' bilateral radiographies, CT scans, the American Orthopaedic Foot and Ankle Society (AOFAS) scores and calcaneus bone mineral density measurements by G&E Archilles Quantitative Ultrasound method were obtained at 15th month of follow up period. Results. Fourteen (22%) patients were female and 49 (88%) were male. The mean age was 43.7±12.1 years. The mean follow-up was 33.7±14.7 months. Bone mineral density measurements were calculated as; t scores; -1.48±1.24 for group C, -1.48±1.31 for group S, -0.27±1.68 for group P and z scores; -0.18±1.41 for group C, -0.17±1.9 for group S, 0.96 ± 1.54 for group P. Group P had the higher t and z scores of injured sides than other groups (p=0.008 and p=0.026, respectively). Average AOFAS scores were 78.13±13.04 in group S, 82.58±10.81 in group P and 79.82±11.75 in group C. No significant differences were detected between groups regarding AOFAS scores. Conclusion. Measurement of calcaneus bone mineral density which we used in our study is a method for evaluation of calcaneal fracture treatments and higher density values were found in open reduction and internal fixation group. This may be owing to better control of defect with the allograft and early mobilization by the evident improvement in angular correction..Eur Res J 2016;2(2):116-120

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Section: Discussionmentioning

confidence: 99%

The effect of treatment protocol on calcaneus bone mineral densitometry after intra-articular calcaneal fractures

et al. 2016

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“…Anatomical and biomechanical studies refer to the important role of the posterior joint facet, which has to be stabilized to reconstruct the subtalar joint [10,32,33].…”

Section: Discussionmentioning

confidence: 99%

“…Only the accurate reduction with re-establishment of statics and function of the foot allows normal biomechanics [4,29,31,32]. These can only be achieved by surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Improved Therapy of Calcaneal Fractures by Intraoperative 3D-Fluoroscopy and Locked-Screw Plate Fixation

et al. 2006

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The operative therapy of intraarticular fractures of the calcaneus is now an established surgical standard. The aim is an accurate reduction of the fracture with reconstruction of the Boehler's angle, the length and the subtalar joint. Intraoperative 3D-fluoroscopy with the Siremobil ISO-C-3D® mobile C-arm radiography system is a valuable assistant for the accurate reconstruction of these anatomical structures. Remaining incongruities can be recognized and corrected intraoperatively. The achieved reduction can be safely fixed by the advantages of an internal fixator (lockedscrew plate interface). In the period from October 2002 until October 2004, we operated 58 patients with intraarticular fractures of the calcaneus by means of anatomical reduction, an internal plate fixator under intraoperative control of 3D-fluoroscopy. In 22 cases the intraoperative 3D-fluoroscopy uncovered remaining incongruity over 1 mm, which could be corrected. The Boehler's angle was raised on average by 16°. In no case a secondary dislocation of the fracture was seen.

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“…Various approaches from the medial or the lateral aspect have been developed [1,9,22]. In our experience, the exclusive L-shaped, extended lateral approach with en-bloc mobilization of a proximal skin and soft tissue flap offers good orientation, permits reduction of the depressed posterior articular fragment and allows stable fixation with plate and screws while preserving soft tissue vascularity [5,28].…”

Section: Discussionmentioning

confidence: 99%

Defect Reconstruction in Articular Calcaneus Fractures with a Novel Calcium Phosphate Cement

Sarkar

Stahl

Wachter

et al. 2002

European Journal of Trauma

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Intra-articular fractures of the calcaneum. Part II: Open reduction and internal fixation by the extended lateral transcalcaneal approach

Cited by 133 publications

References 0 publications

The effect of treatment protocol on calcaneus bone mineral densitometry after intra-articular calcaneal fractures

The effect of treatment protocol on calcaneus bone mineral densitometry after intra-articular calcaneal fractures

Improved Therapy of Calcaneal Fractures by Intraoperative 3D-Fluoroscopy and Locked-Screw Plate Fixation

Defect Reconstruction in Articular Calcaneus Fractures with a Novel Calcium Phosphate Cement

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