scholarly journals Patient satisfaction after open reduction and internal fixation through lateral extensile approach in displaced intraarticular calcaneal fractures (Sander's type II and III)

2016 ◽  
Vol 7 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Khatri Kavin ◽  
Sharma Vijay ◽  
Lakhotia Devendra ◽  
Farooque Kamran
Keyword(s):  
Patient Satisfaction ◽  
Internal Fixation ◽  
Open Reduction ◽  
Type Ii ◽  
Calcaneal Fractures ◽  
Extensile Approach

scholarly journals Comparative Study of Open Reduction and Internal Fixation and Primary Subtalar Arthrodesis for Sanders Type IV Intra-articular Calcaneal Fractures

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0004
Author(s):  
Seunghun Woo ◽  
Hyung Jin Chung ◽  
Su-Young Bae ◽  
Tae Sik Goh
Keyword(s):  
Patient Satisfaction ◽  
Internal Fixation ◽  
Clinical Outcomes ◽  
Open Reduction ◽  
Calcaneal Fractures ◽  
Subtalar Arthrodesis ◽  
Type Iv ◽  
Significant Difference ◽  
The Mean

Category: Trauma Introduction/Purpose: To compare clinical outcome of Sanders type IV intra-articular calcaneal fracture treated with open reduction and internal fixation (ORIF) versus ORIF and primary subtalar arthrodesis (PSTA). Methods: Between March 2003 and November 2013, 22 patients with 22 Sanders type IV intra-articular calcaneal fractures were included in this study. Of these, 11 feet were treated with ORIF (ORIF group), 11 feet were treated with ORIF and PSTA (PSTA group). The mean follow-up periods was 34.6 months (range, 18-72 months). Clinical outcomes were assessed along with the American Orthopaedic Foot and Ankle Society’s Ankle-Hindfoot Scale (AOFAS score), the Visual Analog Scale Pain score (VAS score) at 6-, 12 month, and last follow-up. The patient satisfaction, returning to previous occupation and postoperative complications were also investigated. Results: Complete bone union were achieved in all patients. No statistical difference was found between the results for ORIF compared with PSTA: the mean preoperative Bohler angle were, respectively, -3.2±9.2 and -6.6±12.7 degrees (p=0.475); the mean last follow-up AOFAS scores were 73.8±14.9 and 80.5±4.6 (p=0.795); the mean VAS last follow-up VAS scores were 29.7±20.6 and 23.4±10.0 (p=0.986). Secondary subtalar arthrodesis were conducted in 5 patients (45.5%) of ORIF group due to subtalar osteoarthritis symptom within 2 years, postoperatively. Conclusion: We were unable to demonstrate a significant difference of clinical outcomes between ORIF and PSTA however, the patient satisfaction was higher in the PSTA group. PSTA may be considerable choice for patients who need fast recovery to daily activity and to prevent the need for secondary subtalar arthrodesis.

scholarly journals The Use of Cryopreserved Umbilical Cord in Open Reduction and Internal Fixation of Calcaneus Fractures.

2019 ◽  
pp. 1-6
Keyword(s):  
Internal Fixation ◽  
Umbilical Cord ◽  
Complication Rate ◽  
Open Reduction ◽  
Wound Complications ◽  
Control Group ◽  
Calcaneal Fractures ◽  
Operation Rate ◽  
Extensile Approach ◽  
Calcaneus Fractures

Abstract Calcaneal fractures are caused by a sudden, high-velocity impact on the heel [1]. The complication rate after open reduction and internal fixation of calcaneal fractures operated on by a lateral extensile approach range from 10 to 20%. Some of the worst perioperative complications associated with calcaneal fractures are tissue or bone infection, and/or wound complications. A retrospective review of 39 consecutive patients treated for calcaneus fracture by open reduction and internal fixation (ORIF) via a lateral extensile approach, was performed on 19 consecutive patients with 20 calcaneus fractures were treated with application of Clarix® cryopreserved umbilical cord (CUC) compared to a control group of 20 consecutive patients. The overall complication rate in the control group was 35%, compared to the cUC group of 10% (p=0.13). Additionally, the readmission rate and re-operation rate in the cUC group was lower than the control group (10% vs 30%, respectively; p=0.24). The use of cUC directly on the bone and hardware at the time of open reduction and internal fixation can be used as an adjunct to decrease wound complications, re-operations, and infection rates.

Wound Closure Technique for Lateral Extensile Approach to Intra-Articular Calcaneal Fractures

2008 ◽  
Vol 98 (5) ◽  
pp. 422-425 ◽  
Author(s):  
Shane Hollawell
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Sural Nerve ◽  
Wound Closure ◽  
Wound Dehiscence ◽  
Open Reduction Internal Fixation ◽  
Calcaneal Fractures ◽  
Closure Technique ◽  
Wound Closure Techniques ◽  
Extensile Approach

Multiple wound closure techniques have been described for a lateral extensile calcaneal incision in the literature. In this article, a technique is presented that involves a subcutilar closure over a closed drain system, which has proven to be effective in minimizing sural nerve injury and wound dehiscence in open reduction internal fixation of 20 calcaneal fractures. (J Am Podiatr Med Assoc 98(5): 422–425, 2008)

Open Reduction and Internal Fixation of Intra-articular Calcaneal Fractures in Children

Orthopedics ◽  
2012 ◽  
Vol 35 (6) ◽  
pp. e874-e879 ◽  
Author(s):  
Guang-rong Yu ◽  
Hong-mou Zhao ◽  
Yun-feng Yang ◽  
Jia-qian Zhou ◽  
Hai-feng Li
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Calcaneal Fractures ◽  
Fractures In Children

scholarly journals Open reduction and internal fixation with bone grafts for comminuted mason type II radial head fractures

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Guanyi Liu ◽  
Erman Chen ◽  
Dingli Xu ◽  
Weihu Ma ◽  
Leijie Zhou ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Bone Grafts ◽  
Type Ii ◽  
Radial Head Fractures

scholarly journals Novel Techniques in Treating Calcaneal Tuberosity Fractures

2014 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Selene G Parekh ◽  
Todd Bertrand ◽  
Robert Zura ◽  
Samuel Adams ◽  
Alan Yan
Keyword(s):  
Internal Fixation ◽  
Achilles Tendon ◽  
Open Reduction ◽  
Tendon Transfer ◽  
Flexor Hallucis Longus ◽  
Suture Anchors ◽  
Calcaneal Fractures ◽  
Longus Tendon ◽  
K Wires ◽  
Calcaneal Tuberosity

ABSTRACT Calcaneal tuberosity fractures comprise only 1 to 2% of all calcaneal fractures. Treatment of these injuries has traditionally included open reduction and internal fixation with various means including lag screws, suture anchors and K-wires. We report on a series of cases treated with excision of the tuberosity fragment with repair of the Achilles tendon supplemented by a flexor hallucis longus tendon transfer. Parekh S, Bertrand T, Zura R, Adams S, Yan A. Novel Techniques in Treating Calcaneal Tuberosity Fractures. The Duke Orthop J 2014;4(1):3-7.

“Smile” Incision: An Approach for Open Reduction and Internal Fixation of Calcaneal Fractures

2005 ◽  
Vol 26 (8) ◽  
pp. 590-592 ◽  
Author(s):  
William B. Wiley ◽  
Jon D. Norberg ◽  
Christopher J. Klonk ◽  
Ian J. Alexander
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Calcaneal Fractures

scholarly journals Limited Open Reduction and Internal Fixation of Calcaneal Fractures

2019 ◽  
Vol 41 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Anne K. Bremer ◽  
Lukas Kraler ◽  
Lars Frauchiger ◽  
Fabian G. Krause ◽  
Martin Weber
Keyword(s):  
Wound Healing ◽  
Internal Fixation ◽  
Open Reduction ◽  
Case Series ◽  
Functional Results ◽  
High Rate ◽  
Calcaneal Fractures ◽  
Retrospective Case ◽  
Level Of Evidence

Background: The treatment of displaced intra-articular calcaneal fractures remains a challenge and the optimal approach is still controversial. The main reason to avoid the extended lateral approach is the high complication rate due to wound healing problems. We report on 16 years of experience with a standardized limited open reduction and internal fixation technique. Methods: Between 2001 and 2017, we prospectively followed 240 consecutive patients operatively treated for a displaced intra-articular calcaneal fracture. Patients with open, multiple, bilateral, extra-articular, and Sanders IV fractures and those lost to follow-up were excluded. A lateral subtalar approach was used, with a cast for 8 weeks and full weightbearing allowed after 12 weeks. Follow-up examinations were scheduled until 24 months. Subjective and clinical assessment included gait abnormality, subtalar and ankle range of motion, and stability and alignment. The American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score was calculated. Alignment was analyzed on standard radiographs. In total, 131 patients were excluded. The remaining 109 patients were followed for a minimum of 24 months (34.4 ± 14.2 [range, 24-102] months). Results: The mean AOFAS score was 87 ± 13 (range, 32-100). “Excellent” and “good” results, as well as hindfoot motion with “normal/mild” and “moderate” restrictions, were seen in 80% of patients. Early reoperations were performed for insufficient reduction (2 patients), delayed wound healing (debridement, 3 patients), and hematoma (1 patient). Late revisions were arthrodesis (3 patients), medializing calcaneal osteotomy (1 patient), and implant removal (53 patients; 49%). Conclusion: The presented approach has remained unmodified for 16 years and resulted in consistently good functional results. The main disadvantage was the high rate of heel screw removal. Level of Evidence: Level IV, retrospective case series.

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