Radiographic and functional outcomes after displaced intra-articular calcaneal fractures: a comparative cohort study among the traditional open technique (ORIF) and percutaneous surgical procedures (PS)

Biz, Carlo; Barison, Elia; Ruggieri, Pietro; Iacobellis, Claudio

doi:10.1186/s13018-016-0426-6

Cited by 46 publications

(40 citation statements)

References 52 publications

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“…In a comparative cohort study performed by Biz et al, [26] the authors compared ORIF, percutaneous fixation with K-wires, and percutaneous fixation with screws. They reported AOFAS scores as 82 for ORIF, 79 for percutaneous screw fixation, and 74 for K-wire fixation with an mean complication rate for percutaneous fixations as 21%.…”

Section: Discussionmentioning

confidence: 99%

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Baca

Koluman

2019

Eklem Hastalik Cerrahisi

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ÖZ Amaç: Bu çalışmada deplase eklem içi kalkaneus kırıklarının hızlı, daha az karmaşık ve modifiye edilmiş perkütan bir teknikle cerrahi olarak tedavisinin sonuçları değerlendirildi. Hastalar ve yöntemler: Bu retrospektif çalışmaya Mayıs 2012 ve Haziran 2016 tarihleri arasında kliniğimize kalkaneus kırığı nedeniyle başvuran ve iki çapraz Schanz vidası ile kapalı redüksiyon ve perkütan tespit kullanılarak ameliyat edilen 114 hasta (86 erkek, 28 kadın; ort. yaş 39 yıl; dağılım, 16-66 yıl) dahil edildi. Travma tipi, ek yaralanmalar, tıbbi komorbiditeler, ameliyat öncesi ve sonrası dönem, ameliyat süresi, kemik iyileşmesine kadar geçen süre, komplikasyonlar, ameliyat sonrası fonksiyonel ve radyolojik sonuçlar değerlendirildi. Bulgular: Ameliyat sonrası Bohler açısı ölçümlerindeki artış ameliyat öncesi değerlere kıyasla istatistiksel olarak anlamlı idi (p= 0.001; p<0.01). Sanders sınıflamasına göre yedi ayak (%5.3) tip II, 76 ayak (%57.57) tip III ve 49 ayak (%37.12) tip IV idi. Ortalama Amerikan Ortopedik Ayak-Ayak Bileği Derneği (AOFAS) skoru 80.4 (dağılım, 47-92) idi. Sanders sınıflamasına göre ortalama AOFAS skorları tip II için 81.25, tip III için 81.88 ve tip IV için 80.19 idi. Ortalama ameliyat süresi 8±1.5 dakika idi. Sonuç: Modifiye perkütan teknik ile açık redüksiyonun kontrendike olduğu durumlarda bile iyi sonuçlar alınabilir. Dizilimin sağlanması ve çökmüş eklem içi parçanın yükseltilmesi, anatomik redüksiyon olmadan iyi orta dönem sonuçları için yeterli olabilir. Anahtar sözcükler: Kalkaneus kırığı, eklem içi kırık, minimal invaziv cerrahi, perkütan tespit. ABSTRACTObjectives: This study aims to review the results of surgically treated displaced intra-articular calcaneal fractures with a fast, less complicated, and modified percutaneous technique. Patients and methods: This retrospective study included 114 patients (86 males, 28 females; mean age 39 years; range, 16 to 66 years) admitted to our clinic for calcaneal fractures between May 2012 and June 2016 and operated using closed reduction and percutaneous fixation with two crossed Schanz pins. Trauma type, additional injuries, medical comorbidities, pre-and postoperative period, duration of operation, time to bone healing, complications, postoperative functional and radiological results were evaluated. Results: The increase in the postoperative Bohler's angle measurements was statistically significant compared to preoperative values (p= 0.001; p<0.01). According to Sanders classification, seven feet (5.3%) were type II, 76 feet (57.57%) were type III, and 49 feet (37.12%) were type IV. The mean American Orthopaedic Foot and Ankle Society (AOFAS) score was 80.4 (range, 47 to 92). According to Sanders classification, the mean AOFAS scores were 81.25 for type II, 81.88 for type III, and 80.19 for type IV. Mean duration of operation was 8±1.5 minutes. Conclusion: Modified percutaneous fixation can give good results, even when open reduction is contraindicated. Maintaining the alignment and elevating the depressed intraarticular fragment may be sufficient fo...

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Section: Discussionmentioning

confidence: 99%

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Baca

Koluman

2019

Eklem Hastalik Cerrahisi

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“…No presente estudo, realizado com mais de 10 anos de diferença, os resultados também foram semelhantes, com média do ângulo de 22,66 e 23,4% não retornaram às atividades prévias. Em contrapartida, Biz et al (2) compararam resultados funcionais dos pacientes -retorno ao trabalho, capacidade de deambular, rigidez articular, uso de calçados -e não obteveram resultado com significância estatística ao comparar quando o ângulo foi restaurado e quando não foi.…”

Section: Discussionunclassified

“…Infere-se ainda que, mesmo com estudos com mais de 20 anos de diferença, os resultados são semelhantes (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13) . A fratura de calcâneo tem manejo difícil e de pouco progresso apesar de novos tipos de abordagem cirúrgica, como a cirurgia minimamente invasiva.…”

Section: Discussionunclassified

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Correlation between the quality of calcaneal fracture reduction and time to return to work

et al. 2018

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Objective: The aim of this study is to test the hypothesis that patients with calcaneal fractures who are surgically treated and have Böhler and Gissane angles restored to normal have a faster return to work than patients without restoration of these angles. Calcaneal fractures represent 1-2% of all fractures, and approximately 75% of these are articular, indicating surgical treatment. Joint involvement results in functional limitation and can lead to late complications such as chronic pain, subtalar arthrosis, difficulty walking, and deformities. Methods: Lateral radiographs of the calcaneus of 44 patients who underwent surgical treatment for calcaneal fracture during the period from 2014 to 2016 were analysed to measure the Böhler and Gissane angles and to evaluate the association of their restoration to normal with the time to return to work. Results: Among the patients, 70.2% presented restoration of the Böhler angle and 44.7% presented restoration of the Gissane angle with surgery. The mean time away from work was 8.38 months. A total of 76.6% of patients returned to the same function. Patients who had good fracture reduction had a shorter time to return to work, but this result was not statistically significant. Conclusion: Surgical restoration of angles can positively influence the functional outcomes of patients, but this is not the only variable and thus should not be exclusively used to analyse the functional outcome and time to return to work of patients. Level of Evidence III; Therapeutic Studies; Cases Series.

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“…But, these methods cannot be applied to the calcaneus bones, which have different shapes, features, and types of fracture than their study. In the case of the calcaneus, segmentation and detection of the calcaneal fracture are very challenging, due to the low resolution of CT images, the complex anatomy, and soft tissue structures of the calcaneus [16,17]. At present, there are deficiencies in the operative or conservative management planning of the calcaneus, which are caused by the lack of a standard system in the classification of calcaneal fractures [18].…”

Section: Introductionmentioning

confidence: 99%

Real-Time Automated Segmentation and Classification of Calcaneal Fractures in CT Images

Rahmaniar

Wang

2019

Applied Sciences

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Calcaneus fractures often occur because of accidents during exercise or activities. In general, the detection of the calcaneus fracture is still carried out manually through CT image observation, and as a result, there is a lack of precision in the analysis. This paper proposes a computer-aid method for the calcaneal fracture detection to acquire a faster and more detailed observation. First, the anatomical plane orientation of the tarsal bone in the input image is selected to determine the location of the calcaneus. Then, several fragments of the calcaneus image are detected and marked by color segmentation. The Sanders system is used to classify fractures in transverse and coronal images into four types, based on the number of fragments. In the sagittal image, fractures are classified into three types based on the involvement of the fracture area. The experimental results show that the proposed method achieves a high precision rate of 86%, with a fast computational performance of 133 frames per second (fps), used to analyze the severity of injury to the calcaneus. The results in the test image are validated based on the assessment and evaluation carried out by the physician on the reference datasets.

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Radiographic and functional outcomes after displaced intra-articular calcaneal fractures: a comparative cohort study among the traditional open technique (ORIF) and percutaneous surgical procedures (PS)

Cited by 46 publications

References 52 publications

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Correlation between the quality of calcaneal fracture reduction and time to return to work

Real-Time Automated Segmentation and Classification of Calcaneal Fractures in CT Images

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