Complications of dislocated calcaneal fractures
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2007, Vol 9, Issue 2
Abstract
Summary Introduction: calcaneal fractures are the most common of all tarsal fractures, with the majority being the result of high energy injuries causing comminution of bone and lesions of the posterior articular surface. If the bone fragments are left dislocated or non-operative reduction is attempted, the outcome is poor, often with chronic disability. On the other hand, operative treatment does not always lead to a good result and there is an inherent risk of devastating complications. Material and methods: during a 3-year period (2002-2005) the authors treated operatively (by open reduction and internal fixation) 23 dislocated calcaneal fractures involving the posterior calcaneotalar joint. A control group of 12 patients was treated non-operatively or using minimally invasive techniques. Medium-term results were compared by evaluating the Bohler and Gissane angles and the shape of the posterior calcaneal articular surface on radiographs (lateral and Broden views), while functional outcomes were rated according to the Creighton-Nebraska scale. Complications not included into this scheme were noted.Results: Both anatomic and functional results were markedly better in the group treated with open reduction and internal fixation. In this group, there were three cases of infectious complications that were attributed to the surgical procedure, while in the other group, two such cases were associated with open fractures. Both groups developed clawing of the toes. The quality of reduction was always unsatisfactory in the non-operative group. Conclusions: 1- complications of calcaneal fractures significantly worsen the therapeutic outcome. 2- proper care based on meticulous evaluation of the foot in the early period is crucial for reducing the incidence of complications.
Authors and Affiliations
Paweł Grala, Bartosz Mańkowski, Zofia Machyńska-Bućko
Keywords
Related Articles
- EP ID EP56699
- DOI -
- Views 94
- Downloads 0
Use of densitometric examination after cemented total knee arthroplasty
Background. Dual energy X-ray absorptiometry (DXA, DEXA) is one of many ways of measuring bone mineral density (BMD). Considering the fact that it is possible using DXA analysis to distinguish metal elements from bone, t...
Radio logically visible surgical error and poor outcome of internal fixation in distal femoral fractures
Background: Distal femoral fractures are usually complex and difficult to treat. The surgeon must demonstrate sound judgment in interpreting the fracture pattern and must possess a basic understanding of the principles o...
Bilateral Perthes’ disease
Background. Most patients who develop Perthes disease have unilateral hip involvement. Bilateral involvement occurs in approximately 8-24% of cases. The purpose of this study was to compare the development and outcome of...
Results of the Use of Platelet Rich Plasma in the Treatment of Delayed Union of Long Bones
Background. The aim of this study was to assess the efficacy of platelet rich plasma in the treatment of delayed union of long bones according to fracture location, the time between the fracture and PRP administration, a...
Salter osteotomy in Perthes’ disease. Late radiological results
Background. Surgical treatment in Perthes’ disease has been used for many years, but the choice of operation method still remains controversial. The aim of this work is to analyze long-term radiological results at patien...