Operative treatment of intraarticular calcaneal fractures: Anatomical and functional outcome of three different operative techniques

Gusić, Nadomir; Fedel, I.; Daraboš, Nikica; Lovrić, Zvonimir; Bukvić, Nado; Bakota, Bore; Lemac, Domagoj

doi:10.1016/j.injury.2015.10.061

Cited by 36 publications

(24 citation statements)

References 18 publications

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“…In our study, no difference was found in the outcomes with or without bone grafting. Gusic et al (49) reported that the reason for the similar anatomic and functional outcomes could be the greater healing potential in cancellous bone and the tremendous angiogenic potential of trabecular bone. The primary limitation of the present study was that the sample size was small, the investigation period was short, and some patients had undergone plate removal after 1 year and not returned for followup visits.…”

Section: Discussionmentioning

confidence: 99%

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

Cao

et al. 2018

The Journal of Foot and Ankle Surgery

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Calcaneal fractures, often caused by a fall from a height, are the most common injuries encountered by orthopedic surgeons. Currently, open anatomic reduction and internal fixation (ORIF) is considered a valuable treatment of displaced intraarticular fractures of the calcaneus; however, the need for bone grafting in the treatment is still controversial. Therefore, in the present study, we investigated the outcomes of 2 methods (with and without bone grafting) used for the surgical treatment of Sanders type III calcaneal fractures. From January 2013 to September 2015, 57 cases (55 patients) with displaced Sanders type III calcaneal fractures (53 unilateral and 2 bilateral) were enrolled. The patients were divided into 2 groups: group I was treated by ORIF with bone grafting (n = 28) and group II was treated by ORIF without bone grafting (n = 29). The radiologic evaluation included Böhler's angle, Gissane's angle, and the height and width of the calcaneum. In addition, the American Orthopaedic Foot and Ankle Society questionnaires and visual analog scale were completed by the patients. During the follow-up period, no differences were found in the outcome measures (Böhler's angle, p = .447; Gissane's angle, p = .599; calcaneal height, p = .065; calcaneal width p = .077; and American Orthopaedic Foot and Ankle Society questionnaires, p = .282) with or without bone grafting. The only difference between the 2 groups was the occurrence of postoperative pain (p = .024 and p = ≤ .05), which was greater in the patients who had undergone bone grafting. We have provided evidence that bone grafting with internal fixation in the treatment of intraarticular calcaneal fractures failed to improve the restoration of Böhler's angle or Gissane's angle. No statistically significant difference was found in the short-term outcomes between the 2 methods used for the surgical treatment of Sanders type III calcaneal fractures.

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Section: Discussionmentioning

confidence: 99%

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

Cao

et al. 2018

The Journal of Foot and Ankle Surgery

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“…Moreover, it is hard to repeat and offer reliable measurement for the same patient. Other authors employed contralateral calcaneus, cadaver specimens, and 3D printed calcaneus to study clinical outcomes [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

A reliable method for morphological measurement of 3D calcaneus models from computed tomography images.

Idram¹,

Lai²,

Lee³

2019

biomedicalresearch

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The way to assess the calcaneal fractures reduction is still open. Anatomical morphology is an important clinical value to maintain normal function and may use as references to evaluate the reduction for calcaneal fractures. The aim of study is to provide reliable and repeatable three-dimensional (3D) morphology measurement. 3D models of ninety-nine Taiwanese normal calcaneus were reconstructed and segmented from CT image. Anatomical landmark serves as measurement constraints that manually identified and localized on bone mesh surface according to Gaussian curvature analysis. Computer assisted measurement and manual measurement were performed to quantify morphological parameters. Statistically, measurement results of calcaneal morphology were analyzed. The correlation between each of morphological parameters was tested using Bivariate-Pearson correlation. Gender differences relate to parameters were also tested. Intraclass correlation coefficient (ICC) and root mean square standard deviation (RMS-SD) were performed for reliable and precision study. Significant parameter differences between males and females were found (p<0.05). Yet, the correlation for each morphology parameters shows a strong correlation. Overall measurements show acceptable reliability and repeatability (ICC>0.754). RMS-SD of precision for linear and angular measurement was adequate, around 0.8 mm and 1.7°. Morphological parameters for both male and female groups, 78.5 mm in length, 42.1 in height, 43.3 mm in width, 112.5° in Gissane angle, 33.4° in Böhler angle, which is not much different compared to Asian morphology population. The proposed method positively contributes to measurement calcaneal morphology with significant reliability and repeatability. This study may offer to be a basic data and reference for assessment calcaneal fracture reduction.

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“…[11][12][13] For better outcome of operative treatment restoration of calcaneal height, width and length along with restoration of the Bohler's angle and crucial angle of Gissane are emphasized. 14 In the present study most common complication was pain during weight bearing (26.67%) ( Table 3), It might be due to inaccurate reduction and sub-talar arthritis. We did not have any complication of wound necrosis as no touch technique was used and full thickness flap was raised during surgery in all the cases.…”

Section: Discussionmentioning

confidence: 45%

Descriptive study of functional outcome and complication of fracture calcaneum treated with locking calcaneum plate

et al. 2019

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Background: Fracture of calcaneum accounts for about 2% of all fractures and 75% of all calcaneum fractures are intra-articular. Numerous controversies existed regarding optimal treatment of displaced intraarticular calcaneum fractures. In this study evaluate post-operative functional outcome and complication of fracture calcaneum treated with locking calcaneum plate. Methods: This hospital based prospective descriptive study was conducted on 108 patients (120 calcaneum fracture) operated between July 2016 to December 2018 by open reduction and internal fixation with locking calcaneum plate through extensive lateral approach at Department of Orthopaedics, SMS Medical college and hospital, Jaipur. All close displaced intraarticular calcaneal fracture was included in the study. Results: Average duration between injury and surgery was 8.3±2.97 days. Out of 120 calcaneum fracture 52 fractures (43.33%) were Sander's type II, 52 fractures (43.33%) were Sander's type III, and 16 fractures (13.33%) were Sander's type IV. Pain on weight bearing was noted in 20 patients (16.66%) implant prominence was noted in 8 patients and delayed wound healing was seen in 4 patients. Maryland foot score was excellent in 44 fracture (36.67%), good in 56 fractures (46.67%), fair in 8 fractures (6.67%), and poor in 12 fractures (10%). Conclusions: Open reduction and internal fixation (ORIF) with locking calcaneum plate in an indicated case, with respect to soft tissue envelope and early rehabilitation, leads to better therapeutic results as compared to other operative technique.

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Operative treatment of intraarticular calcaneal fractures: Anatomical and functional outcome of three different operative techniques

Cited by 36 publications

References 18 publications

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts

A reliable method for morphological measurement of 3D calcaneus models from computed tomography images.

Descriptive study of functional outcome and complication of fracture calcaneum treated with locking calcaneum plate

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