The effect of early weight-bearing on comminuted calcaneal fractures treated with locking plates

Kayalı, Cemil

doi:10.5606/ehc.2014.19

Cited by 9 publications

(13 citation statements)

References 21 publications

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“…In the literature, the advantages and effectiveness of locking plates are very clear. 21 – 23 However, the necessity for and effectiveness of grafting is still a controversial issue. 9 – 12 …”

Section: Discussionmentioning

confidence: 99%

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Bulut

Öztürk

Özcan

et al. 2018

TCRM

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ObjectiveThe aim of this study was to determine whether tri-cortical iliac bone autografting provided extra benefit for the stabilization in Sanders Type 3–4 calcaneal fractures fixed with locking plate.Materials and methodsThe study included 29 calcaneal fractures (Sanders Type 3/4=15/14). All fractures were fixed with locking plate using the extended lateral approach. Bone grafts were used in 16 (Group A; Sanders Type 3/4=7/9) and not used in 13 (Group B; Sanders Type 3/4=8/5) calcaneal fractures. As a grafting material, only tri-cortical iliac crest bone autograft was used. All operations were performed by the same surgeon. The same locking plate was used in all fractures. Calcaneal height and angle of Bohler and Gissane were measured in early postoperative and final control radiographs in both groups. Clinical evaluations were performed using the American Orthopedic Foot and Ankle Society ankle hind foot scale.ResultsThere was no difference between the groups in terms of clinical results. Radiologically, the degree of change in Bohler’s angle, Gissane’s angle, and calcaneal height was not different between the groups.ConclusionBone grafting does not affect the clinical and radiologic outcomes in Sanders Type 3–4 calcaneal fractures fixed with locking plate, and they provide no extra benefit to the stabilization. We think that fixation using locking plate is adequate and there is no need for bone grafting.

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Section: Discussionmentioning

confidence: 99%

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Bulut

Öztürk

Özcan

et al. 2018

TCRM

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“…AOFAS has been extensively applied for calcaneal fractures in previous studies [ 23 , 24 ]. Our results indicated that the AOFAS scores were 65.2, 67.0, and 65.0 for Sanders II, Sanders III, and Sanders IV patients, respectively.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Advantages of Internal Fixation with Kirschner Wire and Bone Grafting via Limited Tarsal Sinus Incision Approach for Displaced Intra-Articular Calcaneal Fractures of Children

Jin

Feng

et al. 2018

Med Sci Monit

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BackgroundDisplaced intra-articular calcaneal fractures (DIACF) are a serious injury and are clinically considered to be an important source of disability. This study investigated therapeutic effects of internal fixation with Kirschner wire and bone grafting via limited tarsal sinus incision in pediatric DIACF.Material/MethodsThis retrospective study included pediatric DIACF patients admitted to our department from June 2010 to February 2014. Patients were divided into Sanders II, Sanders III, and Sanders IV groups. Patients were also divided into pre-operation and post-operation groups. All patients underwent the internal fixation with Kirschner wire and bone grafting via limited tarsal sinus incision operation. Bohler angles, Gissane angles, and modified American Orthopedic Foot and Ankle Society Score (AOFAS) were evaluated.ResultsFour weeks after surgery, all patients had clinical healing and no complications appeared. According to CT and X-ray results, the operation had satisfactory reduction effects for pediatric DIACF of childhood and adolescence. The operation significantly enhanced the Bohler angle of patients in Sanders II, III, and IV patients in the post-operation group compared to the pre-operation group (p<0.05). The operation significantly increased Gissane angle in the post-operation group compared to the pre-operation group in Sanders II, III, and IV patients (p<0.05). The operation significantly improved AOFAS scores of patients in the Sanders II, III, and IV groups (p<0.05).ConclusionsInternal fixation with Kirschner wire and bone grafting via limited tarsal sinus incision approach is safe and effective for pediatric DIACF. This approach exhibited advantages of satisfactory reduction for articular surface, solid fixation, and no complications due to infection or tissue necrosis.

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“…However, it was stated that these treatment modalities could only be used in moderate fractures in which the conservative treatment would not be insufficient and the open surgery would be too invasive because displaced fractures with many segments cannot be reduced externally. [12][13][14] Sanders classification is a system that is frequently used in calcaneal fractures and it also predicts the prognosis. Type 1 fractures often give more satisfactory results, the other high grade types of fracture result have more unfavorable outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…In literature, the aims of the surgical treatment are defined as follows: 1) Reducing the posterior facet joint, 2) Providing original height and width of calcaneus, 3) Achieving fibular tendon mobility, 4) Regaining the valgus position of tuber calcanei, and 5) Reducing the calcaneo-cuboidal joint. [14,15] The authors who support the open reduction and internal fixation in recent studies emphasize that cases that are treated surgically have more positive feedbacks, that the patients in which the surgery is chosen as the first treatment option have better outcomes, and that these patients have higher long term quality of life. [14,17,19,20]…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment Of Displaced Intraarticular Calcaneus Fractures Using Anatomical Lateral Frame Plate

Esenkaya¹

2017

Ulus Travma Acil Cerrahi Derg

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The effect of early weight-bearing on comminuted calcaneal fractures treated with locking plates

Cited by 9 publications

References 21 publications

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Therapeutic Advantages of Internal Fixation with Kirschner Wire and Bone Grafting via Limited Tarsal Sinus Incision Approach for Displaced Intra-Articular Calcaneal Fractures of Children

Surgical Treatment Of Displaced Intraarticular Calcaneus Fractures Using Anatomical Lateral Frame Plate

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The effect of early weight-bearing on comminuted calcaneal fractures treated with locking plates

Cited by 9 publications

References 21 publications

Sanders type 3&ndash;4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Sanders type 3&ndash;4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Therapeutic Advantages of Internal Fixation with Kirschner Wire and Bone Grafting via Limited Tarsal Sinus Incision Approach for Displaced Intra-Articular Calcaneal Fractures of Children

Surgical Treatment Of Displaced Intraarticular Calcaneus Fractures Using Anatomical Lateral Frame Plate

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Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?