Use of a Negative Pressure Incisional Dressing After Surgical Treatment of Calcaneal Fractures

Background: The treatment of calcaneal fractures is challenging. Internal fixation and grafting with sintered β-tricalcium phosphate (β-TCP) ceramic is alternative to bone grafting in the treatment of calcaneal fractures. Methods: Seventy-four patients with intraarticular calcaneal fractures were treated with open reduction, internal fixation and grafting with sintered β-TCP ceramic. Followup was performed using the Maryland foot score as well as plain radiography. Results: All patients were followed for 15 (range, 12 to 26) months. Clinical results as assessed by the Maryland foot score were excellent in 40 of 74 cases (54.1%), good in 28 (37.8%), and fair in 6 (8.1%). Immediately after surgery, the mean Böhler angle was improved by 23 degrees, and 1 year after surgery, the mean Böhler angle decreased by 4 degrees. A similar change was also seen in Gissane angles and the height and width of the calcaneus. There was no statistical correlation between the severity of fracture and functional outcome in this series. All fractures healed. Conclusion: These findings suggest that use of β-TCP combined with open reduction and internal fixation is an effective and safe method for the surgical treatment of intra-articular calcaneal fractures. Level of Evidence: IV, Retrospective Case Study

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Early postoperative computed tomography after surgical treatment of calcaneal fractures: a brief report

Foot and Ankle Surgery ◽

10.1046/j.1460-9584.1999.00153.x ◽

1999 ◽

Vol 5 (3) ◽

pp. 197-201 ◽

Cited By ~ 8

Author(s):

E. Trepman ◽

A.H. Newberg ◽

S.M. Wetzner

Keyword(s):

Computed Tomography ◽

Surgical Treatment ◽

Calcaneal Fractures

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Surgical Versus Non-Surgical Treatment of Calcaneal Fractures in Children: A Long-term Results Comparative Study

Foot & Ankle International ◽

10.1177/107110070002101006 ◽

2000 ◽

Vol 21 (10) ◽

pp. 825-832 ◽

Cited By ~ 24

Author(s):

Francesco Ceccarelli ◽

Cesare Faldini ◽

Franco Piras ◽

Sandro Giannini

Keyword(s):

Surgical Treatment ◽

Skeletal Maturity ◽

Long Term Results ◽

Calcaneal Fractures ◽

Articular Fractures ◽

Fractures In Children ◽

Group A ◽

Group B ◽

Non Surgical Treatment

This study compared surgical and non-surgical treatment of 46 calcaneal fractures in children aged 3-17 years. Patients were divided into: Group A ranging 3-14 years and Group B 15-17 years, and classified according to surgical or non-surgical treatment. Mean follow-up was 22.8 years. Extra-articular fractures were treated non-surgically and all results were satisfactory. Results of articular fractures in Group A were satisfactory regardless of the type of treatment. Articular fractures surgically treated in group B were satisfactory, and those non-surgically treated were mainly poor. Extra-articular fractures can be treated non-surgically. Articular fractures in skeletally immature children can be treated non-surgically; conversely, those in children with skeletal maturity must be treated surgically.

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RESULTS OF SURGICAL TREATMENT OF CALCANEAL FRACTURES IN PATIENTS WITH DIABETES MELLITUS

World Science ◽

10.31435/rsglobal_ws/30042019/6469 ◽

2019 ◽

Vol 2 (4(44)) ◽

pp. 4-6

Author(s):

Kovalchuk P. Ye. ◽

Gasko М. V. ◽

Tulyulyuk S. V. ◽

ShutkaV. J. ◽

Bugai R. I.

Keyword(s):

Diabetes Mellitus ◽

Surgical Treatment ◽

Treatment Results ◽

Calcaneal Fractures ◽

Emergency Rescue ◽

Results Of Treatment ◽

Patients With Diabetes ◽

Inability To Work ◽

Prevention Of Diabetes ◽

Optical Transducer

One of the complicated problems of traumatology in the treatment of patients with calcaneal fractures is prevention of diabetes mellitus consequences. The work presents the analysis of treatment results of 72 patients with calcaneal fractures treated by means of surgical method at the Traumatological Adult Department, of the Regional Clinical Hospital “Emergency Rescue Hospital” (ERH), Chernivtsi, for the period from 2011 to 2018. With the purpose to examine the efficacy of treatment of calcaneal fractures all the patients were distributed into three clinical groups, patients with diabetes mellitus were isolated, and remote results of treatment were compared. Therefore, analysis of surgical treatment remote results of intra-articular calcaneal fractures in patients suffering from diabetes mellitus demonstrated that application of closed reposition under electrical optical transducer (EOT) control and fixation by means of wires leads to 44,38% improvement of treatment results, shortened terms of inability-to-work and disability.

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