Transverse Incision for Calcaneal Tuberosity Avulsion Fractures

Eren, Abdullah; Çift, Hakan; Özkan, Korhan; Soylemez, Salih

doi:10.1053/j.jfas.2011.10.015

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…These might be due to the fact that the incision was parallel to the skin lines. In addition, the incision could directly expose the avulsed bone fragments, which was conducive to the operation [ 31 ]. Our study also found that the incision had little invasion to the soft tissue, and the incision along the transverse lines of the skin was more conducive to the beauty of the postoperative scar.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of U-shaped internal fixation in the treatment of avulsion fracture of calcaneal tubercle

Lou,

Liu,

et al. 2023

BMC Musculoskelet Disord

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Background The purpose of this study was to analyze the efficacy of U-shaped internal fixation for calcaneal tubercle fracture after nearly 3 years of case follow-up and data collection. Method We retrospectively analyzed the collected data from 16 patients with avulsion fracture of calcaneal tubercle between December 2018 and February 2021 at our institute. All patients were required to conform to regular follow up postoperatively. X-ray film was applied to all cases. The American Orthopaedic Foot and Ankle Association (AOFAS) score, Cedell score and the visual analog scale (VAS) were used to evaluate functional results. Results All patients achieved bone union. The preoperative AOFAS score was 26.34 ± 3.34, which was significantly different from 91.38 ± 6.15 half a year after operation (p = 0.003). The preoperative Cedell score was 31.05 ± 4.18 and the score half a year after operation was 92.17 ± 5.39(p = 0.011). The VAS score was 8.91 ± 1.51 before operation and decreased to 0.58 ± 1.31 half a year after operation (p = 0.014). Conclusions In the treatments of calcaneal tubercle fracture, U-shaped internal fixation is a new attempt. Through the short-term follow-up study, we found that its therapeutic effect is excellent, which is a recommended treatment in clinic.

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Section: Discussionmentioning

confidence: 99%

Outcomes of U-shaped internal fixation in the treatment of avulsion fracture of calcaneal tubercle

Lou,

Liu,

et al. 2023

BMC Musculoskelet Disord

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“…Either posteromedial, posterolateral, or posterior midline longitudinal incisions can be chosen. However, if the fracture fragment is large or skin injury is present in the incision area, transverse incision may be the optimal option, as suggested by Eren et al 11 , which can fully expose the fragments while reducing the incidence of wound complications. Since resistance to traction by the triceps surae is required, fixation with a single screw should be avoided.…”

Section: Surgical Attentions Of the Avulsion Fracture Of Calcaneal Tumentioning

confidence: 99%

Surgical Management for Avulsion Fracture of the Calcaneal Tuberosity

Pang²,

Yu³

et al. 2013

Orthopaedic Surgery

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To patients with obvious fracture displacement, whose soft tissues are irritated severely, emergency open reduction and internal fixation operation should be offered to prevent the necrosis of the flaps as far as possible. To patients with small fractures, it is advisable to choose open reduction and large diameter screw fixation, while plate and screw fixation may be better for the patients with large fragments, especially for those with the fracture line extending to the subtalar joint.

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“…However, the optimal surgical technique remains a subject of debate as the available techniques continue to evolve. [6][7][8] Moreover, there is no theoretical basis for deciding which fixation method is more biomechanically relevant. Finite element analysis (FEM) is a method that is used to analyze dynamic and static physical systems.…”

Section: Introductionmentioning

confidence: 99%

Hollow screw fixation of type II avulsion fractures of the calcaneal tuberosity using the finite element analysis

Wang

2023

Medicine

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We aimed to establish a model of type II avulsion fractures of the calcaneal tuberosity treated with 2 hollow screws implanted in different directions and to analyze the biomechanical properties of the model using the finite element method. The Dicom data of the calcaneal bone obtained after computed tomography scan were inputted into Mimics 21.0 software and Geomagic Studio software to generate a 3D finite element digital model of the calcaneal bone. The model was then imported into SOLIDWORKS 2020 software. Based on the Beavis theory, the calcaneal bone was cut to build a type II avulsion fracture model of the calcaneal tuberosity; the calcaneal fracture was then simulated by internal fixation using hollow screws. Two screws were used to fix the calcaneal bone from the calcaneal tuberosity in different ways, resulting in 3 different calcaneal models (Model 1 involved 2 screws for fixing the fracture vertically; Model 2 had 2 screws for fixing the fracture cross-wise; and Model 3 had 2 screws for fixing the fracture parallelly). Three internal fixation models were loaded under the same conditions, and lines finite element analysis was then performed to calculate the stress distribution of the generated internal fixation models. Under the same loading conditions, compared with Models 2 and 3, Model 1 exhibited smaller maximum displacement values of the heel bone, maximum equivalent force values of the screws, and more dispersed stresses. Avulsion fractures of the calcaneal tuberosity can be treated using 2 screws to fix the fracture vertically (Model 1), which is more biomechanically relevant.

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Transverse Incision for Calcaneal Tuberosity Avulsion Fractures

Cited by 7 publications

References 9 publications

Outcomes of U-shaped internal fixation in the treatment of avulsion fracture of calcaneal tubercle

Outcomes of U-shaped internal fixation in the treatment of avulsion fracture of calcaneal tubercle

Surgical Management for Avulsion Fracture of the Calcaneal Tuberosity

Hollow screw fixation of type II avulsion fractures of the calcaneal tuberosity using the finite element analysis

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