J Korean Fract Soc.  2007 Oct;20(4):361-367. 10.12671/jkfs.2007.20.4.361.

Treatment of Calcaneus Fractures: Recent Trend for Acute Fractures and Complications

• Lee WC

• KMID: 2297520
• DOI: http://doi.org/10.12671/jkfs.2007.20.4.361

Abstract

No abstract available.

MeSH Terms

Calcaneus*

Figure

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  Fig. 1 Intraoperative photograph of a short incision. (A) A photograph showing a short incision over the sinus tarsi and posterior facet of subtalar joint. (B) Posterior facet is reduced under direct vision after retraction of the peroneal tendons inferiorly.

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  Fig. 2 Photograph of a patient showing dry skin of sole on the left side in this photograph due to tarsal tunnel syndrome after calcaneal fracture.

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  Fig. 3 Photograph of a patient showing clawing of lesser toes due to intrinsic muscle contractures from calcaneal compartment syndrome.

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  Fig. 4 Photographs and radiographs of distraction arthrodesis through a L-shaped extensile lateral approach. (A, B) Lateral (A) and posterior (B) views of the foot show shortening and widening of the heel. (C, D) Preoperative (C) and postoperative (D) lateral radiographs of the calcaneus show restoration of calcaneal height and talar declination angle after distraction arthrodesis. (E) Lateral wall ostectomy is done with osteotome. (F) Bone removed from the lateral wall is inserted into the widened subtalar joint.

Reference

1. Aldridge JM 3rd, Easley M, Nunley JA. Open calcaneal fractures: results of operative treatment. J Orthop Trauma. 2004; 18:7–11.

2. Allmacher DH, Galles KS, Marsh JL. Intra-articular calcaneal fractures treated nonoperatively and followed sequentially for 2 decades. J Orthop Trauma. 2006; 20:464–469.

3. Attinger CE, Evans KK, Bulan E, Blume P, Cooper P. Angiosomes of the foot and ankle and clinical implications for limb salvage: reconstruction, incisions, and revascularization. Plast Reconstr Surg. 2006; 117:7 Suppl. 261S–293S.

4. Bajammal S, Tornetta P 3rd, Sanders D, Bhandari M. Displaced intra-articular calcaneal fractures. J Orthop Trauma. 2005; 19:360–364.

5. Benirschke SK, Kramer PA. Wound healing complications in closed and open calcaneal fractures. J Orthop Trauma. 2004; 18:1–6.

6. Berry GK, Stevens DG, Kreder HJ, McKee M, Schemitsch E, Stephen DJ. Open fractures of the calcaneus: a review of treatment and outcome. J Orthop Trauma. 2004; 18:202–206.

7. Buch BD, Myerson MS, Miller SD. Primary subtalar arthrodesis for the treatment of comminuted calcaneal fractures. Foot Ankle Int. 1996; 17:61–70.

8. Buckley R, Tough S, McCormack R, et al. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2002; 84:1733–1744.

9. Carr JB. Surgical treatment of intra-articular calcaneal fractures: a review of small incision approaches. J Orthop Trauma. 2005; 19:109–117.

10. Clare MP, Lee WE 3rd, Sanders RW. Intermediate to long-term results of a treatment protocol for calcaneal fracture malunions. J Bone Joint Surg Am. 2005; 87:963–973.

11. Csizy M, Buckley R, Tough S, et al. Displaced intra-articular calcaneal fractures: variables predicting late subtalar fusion. J Orthop Trauma. 2003; 17:106–112.

12. Ebraheim NA, Elgafy H, Sabry FF, Freih M, Abou-Chakra IS. Sinus tarsi approach with trans-articular fixation for displaced intra-articular fractures of the calcaneus. Foot Ankle Int. 2000; 21:105–113.

13. Gavlik JM, Rammelt S, Zwipp H. Percutaneous, arthroscopically-assisted osteosynthesis of calcaneus fractures. Arch Orthop Trauma Surg. 2002; 122:424–428.

14. Heier KA, Infante AF, Walling AK, Sanders RW. Open fractures of the calcaneus: soft-tissue injury determines outcome. J Bone Joint Surg Am. 2003; 85:2276–2282.

15. Herscovici D Jr, Widmaier J, Scaduto JM, Sanders RW, Walling A. Operative treatment of calcaneal fractures in elderly patients. J Bone Joint Surg Am. 2005; 87:1260–1264.

16. Kong GM, Suh BH, Kim DJ. Joint depression type of intraarticular calcaneal fractures treated with Essex-Lopresti method. J Korean Fract Soc. 2007; 20:178–183.

17. Lee WC, Park SS. One stage management with curettage and bone graft of chronic osteomyelitis preceded by surgical treatment of calcaneal fracture. J Korean Orthop Assoc. 2005; 40:605–609.

18. Lui TH. Endoscopic lateral calcaneal ostectomy for calcaneofibular impingement. Arch Orthop Trauma Surg. 2007; 127:265–267.

19. Magnan B, Bortolazzi R, Marangon A, Marino M, Dall'Oca C, Bartolozzi P. External fixation for displaced intra-articular fractures of the calcaneum. J Bone Joint Surg Br. 2006; 88:1474–1479.

20. McGarvey WC, Burris MW, Clanton TO, Melissinos EG. Calcaneal fractures: indirect reduction and external fixation. Foot Ankle Int. 2006; 27:494–499.

21. Park IH, Song KW, Shin SI, Lee JY, Kim TG, Park RS. Displaced intra-articular calcaneal fracture treated surgically with limited posterior incision. Foot Ankle Int. 2000; 21:195–205.

22. Stulik J, Stehlik J, Rysavy M, Wozniak A. Minimally-invasive treatment of intra-articular fractures of the calcaneum. J Bone Joint Surg Br. 2006; 88:1634–1641.

23. Sung CH, Park BM, Song KS, Kim HG, Kim JM, Kim TE. Operative treatment of intraarticular calcaneal fracture - comparison of outcomes between open reduction and closed reduction. J Korean Fract Soc. 2005; 18:170–175.

24. Tornetta P 3rd. The Essex-Lopresti reduction for calcaneal fractures revisited. J Orthop Trauma. 1998; 12:469–473.