FRACTURE OF THE CALCANEUS - LIFE THREATENING INJURY
Authors:
Martin Pompach; Martin Carda; Jan Vanáč; Milan Peřina *
Authors‘ workplace:
Traumatologické centrum, Chirurgická klinika KN Pardubice
Ústav zdravotnických studií, Universita Pardubice
; The Orthopaedic Dpt. of the General Hospital in Pardubice
*; Ortopedické oddělení, KN Pardubice
Traumacentre, The Surgical Dpt. of the General Hospital in Pardubice
The Institute of Medical Studies, The University of Pardubice
*
Published in:
Úraz chir. 14., 2006, č.1
Overview
The authors present the case of a patient with chronic osteomyelitis of the calcaneus. They wish to communicate the dangers of the development of septic shock from chronic osteomyelitis. They stress the need for immediate radical treatment, particulartly in this case subtotal calcanectomy, to prevent sepsis. Conservative antibiotic treatment and repeated debridment of the bone are insufficient. On the other hand, prior to treatment it is necessary to consider the age of the patient, his social backround, his job and his patient compliance. Partial calcanectomy or in the last resport amputation handicap the patient severely but save his life. The authors acknowledge with gratitude their cooperation with prof. Zwipp, chairmann of the Traumacentre of the Carl Gustav Carus University Hospital in Dresden who helped them to solve the case of a patient with chronic osteomyelitis of the calcaneus. This case had an influence on treatment of the fractures of the calcaneus in their department.
Key words:
osteomyelitis chronica, shock septic, cal-canectomy, arthrodesis talocalcanealis.
Sources
1. BRUNNER, U., KENN, R.W. Die intraartikuläre Kalkaneusfraktur. Unfallchirurg. 1992, 95, 358.
2. DUNGL, P. Ortopedie a traumatologie nohy. Praha: Avicenum, 1989. 285 s.
3. EWERBECK, V., WENTZENSEN, A. Standardver-fahren in der operativen Orthopädie und Unfallchirurgie. Stuttgart: Thieme, 2004. 924 s.
4. GAVLIK, J. M., RAMMELT, S., ZWIPP, H. Opera-tionsmöglichkeiten und Indikationen bei Fersenbein-frakturen, Stellenwert der offenen subtalaren Arthroskopie Chirurgische Praxis. 2001, 58, 649–664.
5. RAMMELT, S., ZWIPP, H., AMLANG, M. Minimally-invasive treatment of calcaneal fractures, Injury. 2004, 35, 46–54.
6. STEHLÍK, J. ŠTULÍK, J. Zlomeniny patní kosti, Galén, 2005.
7. ZWIPP, H., RAMMELT, S. Posttraumatische Korrekturoperationen am Fuss. Zentralblatt für Chirurgie. 2003, 128, 218–226.
8. ZWIPP, H. Der intraartikuläre subthalamische Fersenbeinbruch. Operative Orthopädie und Traumatologie. 1995, 7, 237–249.
9. ZWIPP, H., BAUMGART, F. Integral classification of injuries to the bones, joints, and ligaments - application to injuries of the foot. Injury. 2004, 35, 3–9.
Labels
Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
![Issue 1](https://www.prolekare.cz/media/cache/resolve/journal_issue/media/image_pdf/a783a9a0926ca70b499d63bb6e8d137d.jpeg)
2006 Issue 1
Most read in this issue
- FRACTURE OF THE CALCANEUS - LIFE THREATENING INJURY
- TREATMENT OF CALCANEAL FRACTURES – PART I.
- ACUTE SLIPPED CAPITAL FEMORAL EPIPHYSIS - RESULTS OF SURGICAL THERAPY AND REVIEW OF THE PROBLEMS
- INTERNAL FIXATION OF FEMORAL NECK FRACTURES IN ELDERLY PATIENTS: COMPARISON OF TECHNIQUES