Surgical treatment of displaced intra-articular fractures of the os-calcis

Rajkumar, P; Henderson, A.A.

doi:10.1016/s1268-7731(03)00010-9

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…The risk of nerve injury is 1.6%. 11 Although open reduction and internal fixation is currently considered the treatment of choice for fractures type II, III and IV, according to Sander's classification, 13,16 uncertainty remains about the comparative final results of surgical and conservative treatment, 3,7,9,10 as neither provides good results without the risk of considerable early and delayed complications.…”

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confidence: 99%

External fixation for displaced intra-articular fractures of the calcaneum

Magnan

Bortolazzi

Marangon

et al. 2006

The Journal of Bone and Joint Surgery. British volume

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A minimally-invasive procedure using percutaneous reduction and external fixation can be carried out for Sanders' type II, III and IV fractures of the os calcis. We have treated 54 consecutive closed displaced fractures of the calcaneum involving the articular surface in 52 patients with the Orthofix Calcaneal Mini-Fixator. Patients were followed up for a mean of 49 months (27 to 94) and assessed clinically with the Maryland Foot Score and radiologically with radiographs and CT scans, evaluated according to the Score Analysis of Verona. The clinical results at follow-up were excellent or good in 49 cases (90.7%), fair in two (3.7%) and poor in three (5.6%). The mean pre-operative Böhler's angle was 6.98 degrees (5.95 degrees to 19.86 degrees), whereas after surgery the mean value was 21.94 degrees (12.58 degrees to 31.30 degrees) (p < 0.01). Excellent results on CT scanning were demonstrated in 24 cases (44.4%), good in 25 (46.3%), fair in three (5.6%) and poor in two (3.7%). Transient local osteoporosis was observed in ten patients (18.5%), superficial pin track infection in three (5.6%), and three patients (5.6%) showed thalamic displacement following unadvised early weight-bearing. The clinical results appear to be comparable with those obtainable with open reduction and internal fixation, with the advantages of reduced risk using a minimally-invasive technique.

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confidence: 99%

External fixation for displaced intra-articular fractures of the calcaneum

Magnan

Bortolazzi

Marangon

et al. 2006

The Journal of Bone and Joint Surgery. British volume

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“…For what concern foot and ankle trauma, in 1977 Ma and Griffith [5] proposed a percutaneous repair for acute Achilles tendon tears, a technique that has became the treatment of choice in the majority of cases. Calcaneal fractures can now be managed using minimally invasive reduction and fixation techniques by external mini-fixators (Figures 1(a) and (b)) or using percutaneous cannulated screws [6][7][8], possibly allowing "augmentation" procedures with injectable polymers as bone substitutes [9]. For the treatment of fractures and dislocation of the Lisfranc joint and fractures of the base of the fifth metatarsal, Myerson [4] has shown that is possible to perform percutaneous fixations under fluoroscopic control.…”

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confidence: 99%

Minimally Invasive Surgery of the Forefoot: Current Concept Review

Magnan¹,

Bondi²,

Mezzari³

et al. 2013

IJCM

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A minimally invasive surgical technique (MIS) is any procedure that could be less invasive than open surgery used for the same purpose. Though MIS often involves small incisions or percutaneous approaches, its main goal is to achieve good therapeutic results with the least damage to functional anatomic structures. Minimal invasiveness in orthopaedic forefoot surgery, including first ray and lesser toes, with its growth over the last two decade, showed many advantages and good outcomes with the aim to obtain fewer complications due to a contained approach, shorter surgical time and

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Management of Intra-Articular Calcaneal Fractures Wiilizarov Ring Fixatio

Singh

Jagdish

Jain

et al. 2021

Global Journal for Research Analysis

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Objective: Calcaneal fractures are caused by a high velocity force to the heel, mostly in road trafc accidents or fall from height. Debate continues regarding the best management of calcaneal fractures. We aim at evaluating the radiological and functional outcomes of displaced intra-articular calcaneal fractures treated with Ilizarov ring xation. Methods: intra-articular calcaneal Eighteen consecutive patients with fractures [Sanders type II (10), Sanders type III(6), and Sanders type IV (2)] were treated with the Ilizarov ring xator from Sep 2017 to June 2020. Patients were evaluated in terms of associated injuries and x-rays of anteroposterior, lateral and axial views of the calcaneus. CT scan was done to assess the amount of comminution and articular depression. Patients were followed up clinically and radiologically at least for 1 year. Functional outcome was assessed using the American Orthopaedics Foot and Ankle Society (AOFAS) scale. Radiological assessment was done by Bohler's angle and Gissane's angle along with measurement of calcaneal height and width. Results: At average follow-up of 18.5 months, average AOFAS score was 80.5 (range 71 to 90), with 6.25% having excellent, 75% having good, 12.5% having fair and 6.25%having poor results. All patients had stable ankle joint with all having dorsiexion and plantar exion more than 30°. All patients are able to wear their previous size shoes. The mean Bohler's angle, mean Gissane's angle, calcaneal height and width were 21.5°, 126.3°, 4.36 cm and 3.80cm respectively at nal follow-up. Four patients had supercial pin tract infection. One patient had collapse of posterior facet after removal of xator with peroneal tendinitis. All fractures united and none needed secondary bone grafting. Patients returned to work on an average of 5.5 months. Conclusion: Ilizarov external ring xation gives good functional outcomes, manifested by restoring near normal anatomic reconstruction of morphology and alignment of the calcaneus. The added advantages of these procedures are the considerably shortened operating time and hospital stay, no need of highly equipped operation theatres and the reduced risk of complications related to surgical exposure.

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Surgical treatment of displaced intra-articular fractures of the os-calcis

Cited by 3 publications

References 17 publications

External fixation for displaced intra-articular fractures of the calcaneum

External fixation for displaced intra-articular fractures of the calcaneum

Minimally Invasive Surgery of the Forefoot: Current Concept Review

Management of Intra-Articular Calcaneal Fractures Wiilizarov Ring Fixatio

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