TREATMENT OF CALCANEAL FRACTURES – PART I.
Authors:
Jiří Hampel
Authors‘ workplace:
Department of Traumatology, University Hospital Olomouc
; Traumatologické oddělení FN Olomouc
Published in:
Úraz chir. 14., 2006, č.1
Overview
Treatment of calcaneal fractures has received attention since the times Hippocrates (460-385 B. C.). However, despite better diagnostics and treatment strategies, the results are still unsatisfactory. X-ray diagnostics and computer aided tomography have revealed the complexity of the injuries as well as the need for accurate repositioning of the back articulate surface, preservation of the length and width of calcaneal bone together with preservation of Böhler and Gisson angles. Further, views on how to treat calcaneal fractures are rather controversial. Most often discussed are problems in the choice of types of surgery, method and time of repositioning together with choice of osteosynthetic material and the need to fill the calcaneal bone with spongioplastic. Albeit the number of fractures is only between 1-2% of all fractures, it is still the most frequent fracture in the area of the tarsus. Financially, as early as 1946 the cost for calcaneal fracture was 1350 USD. In 1998 at the 69th workshop of AO/ OSIF, Harald Tscherne stated that calcaneal fractures are economically amongst the most demanding fractures in Germany.
Key words:
background, classification, surgery treatment.
Sources
1. BELL, C. Compound fracture of the os calcis. Edinburgh Med J. 27, 1882, 1100.
2. BÖHLER, L. Diagnosis, pathology and treatment of fractures of the os calcis. J Bone Joint Surg. 1931, 13, 75–89.
3. COTTON, F.J., HENDERSON, F.F. Results of fractures of the os calcis. Am J Orthop Surg. 1916, 14, 290–298.
4. EASTWOOD, D.M., GREGG, P.J., ATKINS, R.M. Intra-articular fracture of the calcaneum. J Bone Joint Surg. 1993, 75B, 183–188.
5. EASTWOOD, D.M., LANGKAMER, V.G., ATKINS, R. M. Intra-articular fracture of the calcaneum – Part 2: open reduction and internal fixation by the extended lateral transcalcaneal approach. J Bone Joint Surg. 1993, 75B, 189–195.
6. EASTWOOD, D.M., PHIPP, L. Intra-articular fractures of the calcaneum: why such controversy? Injury. 1997, 4, 247–259.
7. ESSEX-LOPRESTI, P. The mechanism, reduction technique and results of fractures of the os calcis. Br J Surg. 1952, 39, 395–419.
8. GIACHINO, A.A., UHTHOFF, H.K. Current concepts review Intra-articular fractures of the calcaneus. J Bone Joint Surg. 1989, 71A, 784–787.
9. KITAOKA, H.B., SCHAAP, E.J., CHAO, EYS., KAINAN, A. Displaced intra-articular fractures of the calcaneus treated non-operatively. J Bone Joint Surg. 1994, 76A, 1531–1541.
10. LANGDON, I.J., KERR, P.S., ATKINS, R.M. Fractures of the calcaneum: The anterolateral fragment. J Bone Joint Surg. 1994, 76B, 303–305.
11. LEUNG, K.S., YUEN, K.M., CHAN, W.S. Operative treatment of displaced intra-articular fractures of the calcaneum. J Bone Joint Surg. 1993, 75B, 196–201.
12. MIRIC, A., PATTERSON, B.M. Pathoanatomy of intra-articular fractures of the calcaneus. J Bone Joint Surg. 1998, 80A, 207–212.
13. McREYNOLDS, I.S. The case for operative treatment of fractures of the os calcis. In: LEACH RE, HOAGLUND, F.T., RISEBOROUGH, E.J. (eds) Controversies in orthopedic surgery. Philadelphia: Saunders, 1982. 232–234.
14. OMOTO, H., SAKURADA, K., SUGI, M., NAKA-NUTA, K. A new metod of manual reduction for intraarticular fracture of the calcaneus. Clin Orthop. 1983, 177, 104.
15. PALEY, D.H., HALL, H. Intra-articular fractures of the calcaneus. A critical analysis of results and prognostic factors. J Bone Joint Surg. 1993, 75A, 342–354.
16. PALMER, I. The mechanism and treatment of frac-tures of the calcaneus: Open reduction with the use of cancellous grafts. J Bone Joint Surg. 1948, 30A, 2–10.
17. PARMAR, H.V., TRIFFITT, P.D., GREGG, P.J. Intra-articular fractures of the calcaneum treated operatively or conservatively. J Bone Joint Surg. 1993, 75B, 932–937.
18. SANDERS, R., FORTIN, P., DI PASQUALE, T. Operative treatment in 120 dispaced intraarticular calcaneal fractures. Clin Orthop. 1993, 290, 87–95.
19. SANDERS, R., GREGORY, P. Operative treatment of intraarticular fractures of the calcaneus. Orthop Clin. 1995, 26, 203–214.
20. SOEUR, R., REMY, R. Fractures of the calcaneus with displacement of the thalamic portion. J Bone Joint Surg. 1975, 57B, 413–421.
21. STEHLÍK, J., ŠTULÍK, J. Vlastní metoda léčby dislokovaných zlomenin patní kosti. Rozhl Chir. 1998, 77, 389–395.
22. STEHLÍK, J., ŠTULÍK, J. Kombinovaná metoda léčení dislokovaných zlomenin patní kosti. Acta Chir Orthop Traumatol Cech. 2002, 69, 219–228.
23. STRNAD, Z. Role of the glass phase in bioactive glass-ceramics. Biomaterials. 1992, 13, 317–321.
24. TSCHERNE, H., ZWIPP, H. Calcaneal Fracture. In: TSCHERNE H., SCHATZKER, J. (eds). Major Fractures of the Pilon, the Talus and the Calcaneus. Current Concepts in Treatment. Berlin: Springer Verlag, 1993. 153–174.
25. WESTHUES, H., Eine neue Behandlungsmethode der Kalkaneusfraktur. Arch Orthop Unfallchir. 1934, 35, 121–128.
26. WONDRÁK, E. Zlomeniny kosti patní. Praha: Státní zdravotnické nakladatelství, 1964. 94 s.
Labels
Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
2006 Issue 1
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