Arthroscopically assisted osteosynthesis of calcaneal fractures

2012 ◽  
Vol 10 (4) ◽  
pp. 310
Keyword(s):  
Calcaneal Fractures ◽  
Arthroscopically Assisted ◽  
Arthroscopically Assisted Osteosynthesis

scholarly journals Results after Percutaneous and Arthroscopically Assisted Osteosynthesis of Calcaneal Fractures

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0019
Author(s):  
Wolfram Grün ◽  
Marius Molund ◽  
Fredrik Nilsen ◽  
Are Stødle
Keyword(s):  
Subtalar Joint ◽  
Operation Time ◽  
Clinical Results ◽  
Lateral Approach ◽  
Calcaneal Fractures ◽  
Invasive Approach ◽  
Extensile Lateral Approach ◽  
Arthroscopically Assisted ◽  
American Orthopaedic

Category: Arthroscopy, Trauma Introduction/Purpose: Surgical treatment of calcaneal fractures using the extensile lateral approach is associated with high rates of infection and soft tissue complications. During the last years there was a trend towards less invasive fixation methods. Percutaneous and arthroscopically assisted calcaneal osteosynthesis (PACO) combines the advantages of good visualization of the posterior facet of the subtalar joint with a minimally invasive approach. We have performed this technique since 2014 in selected Sanders II and III fractures. Methods: We conducted a clinical and radiographic follow-up of 19 patients with 20 calcaneal fractures which had been treated by PACO with a minimum follow-up of 12 months. The follow-up rate was 66% (19 of 29 patients). 18 men and 1 woman with a median age of 44 years (range, 21-65) and a follow-up period of 18 months (12-33) were examined. There were 11 Sanders II and 9 Sanders III fractures. Radiographs of all feet were obtained at final follow-up to evaluate the reduction of the fractures as well as the presence of osteoarthritis of the subtalar joint. Our primary outcome was the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score. Secondary outcomes were the Calcaneus Fracture Scoring System (CFSS), the Manchester- Oxford Foot Questionaire (MOxFQ), the Visual Analog Scale (VAS) for pain and the incidence of complications. Results: The patients were operated on after a median of 4 days after injury (range, 1-12). The operation time was 139.5 minutes (98-234). The patients were discharged 3 days (1-6) postoperatively. Postoperative radiographs showed a Böhler angle of 29.5 degrees (0-40). However, the follow-up radiographs showed subsidence of the fractures and a Böhler angle of 21 degrees (-16-36). 95% of the operated feet showed signs of posttraumatic subtalar osteoarthritis. There were no wound healing complications. Two patients were reoperated with screw removal due to prominent screws. The AOFAS score was 85 (50-100), the CFSS score 85 (26-100), the MOxFQ score 26.6 (0-73.4). The VAS pain score was 0 (0-5.7) at rest and 4 (0-8.2) during activity. Conclusion: Only a few articles have reported the outcome after percutaneous artroscopically assisted calcaneal osteosynthesis. Our results suggest that PACO gives good clinical results and a reduced risk of complications in selected calcaneal fractures. However, since this technique is technically challenging and has a steep learning curve, we expect to be able to further improve our results over time. Prospective longterm studies will be necessary to better document the potential advantages and limitations of this operating technique.

scholarly journals Arthroscopically Assisted Osteosynthesis of Distal Radius Intra-articular Fractures

2019 ◽  
Vol 9 (2) ◽  
pp. 71-79
Author(s):  
Erdem Ozden ◽  
◽  
Hakan Gurbuz ◽  
Kahraman Ozturk ◽  
Ali Tufan Pehlivan ◽  
...  
Keyword(s):  
Distal Radius ◽  
Articular Fractures ◽  
Arthroscopically Assisted ◽  
Arthroscopically Assisted Osteosynthesis

scholarly journals Arthroscopically-assisted reduction and percutaneous screws fixation of Sanders type Ⅱ of calcaneal fractures

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0024
Author(s):  
Jinsong Hong
Keyword(s):  
Statistical Significance ◽  
Healing Time ◽  
Postoperative Blood Loss ◽  
Calcaneal Fractures ◽  
Significant Difference ◽  
Arthroscopically Assisted ◽  
The Difference ◽  
Group 2 ◽  
Retrospective Comparative Study ◽  
Percutaneous Screws

Category: Trauma Introduction/Purpose: Compared the clinical effect of arthroscopy assisted reduction and application of sinus tarsal approach reduction when treating Sanders Ⅱ calcaneal fractures. Methods: It was a retrospective comparative study since August 2014 to February 2017.There are 68 cases with Sanders type Ⅱ displaced calcaneal fractures which was divided into two groups. Group 1 with 31 cases was treated with arthroscopy assisted reduction and percutaneous headless screws fixation. Group 2 with 37 cases was treated with reduction and internal fixation. Results: No statistically significant difference was found between the two groups compared with the time of fracture healing, the Maryland foot score and AOFAS, and the differences was not statistically significant(P>0.05). Compared with the open reduction group, arthroscopy group had lower VAS, the healing time of incision was significantly less, intraoperative and postoperative blood loss was less, and it had higher SF-36 score, the difference had statistical significance(P<0.001). Conclusion: Two different kinds of surgical treatment of Sanders type Ⅱ calcaneal fractures had good clinical outcomes, but the treatment of arthroscopy group had less injury, less pain after surgery, less complications of incision, and it was more helpful to improve patients quality of life.

Arthroscopically Assisted Osteosynthesis for Tibial Plateau Fractures

2003 ◽  
Vol 54 (2) ◽  
pp. 356-363 ◽  
Author(s):  
Shuo S. Hung ◽  
En-Kai Chao ◽  
Yi-Sheng Chan ◽  
Li-Jen Yuan ◽  
Peter C.-H. Chung ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Arthroscopically Assisted ◽  
Arthroscopically Assisted Osteosynthesis

Arthroscopically Assisted Osteosynthesis of Complex Intra-articular Fractures of the Distal Radius

2002 ◽  
Vol 53 (2) ◽  
pp. 354-359 ◽  
Author(s):  
Alvin Chao-Yu Chen ◽  
Yi-Sheng Chan ◽  
Li-Jen Yuan ◽  
Wen-Lin Ye ◽  
Mel Shiuann-Sheng Lee ◽  
...  
Keyword(s):  
Distal Radius ◽  
Articular Fractures ◽  
Arthroscopically Assisted ◽  
Arthroscopically Assisted Osteosynthesis
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