Commentary on an article by T. Tomesen, MD, et al.: “Treatment of Displaced Intra-Articular Calcaneal Fractures with Closed Reduction and Percutaneous Screw Fixation”

2011 ◽  
Vol 93 (10) ◽  
pp. e58(1)-e58(2) ◽  
Author(s):  
Daniel C Farber
Keyword(s):  
Closed Reduction ◽  
Screw Fixation ◽  
Calcaneal Fractures ◽  
Percutaneous Screw Fixation ◽  
Al Treatment

scholarly journals Functional outcome of percutaneous screw fixation of intra-articular calcaneum fractures

2018 ◽  
Vol 4 (6) ◽  
pp. 857
Author(s):  
Mahaveer Meena ◽  
Saksham Sharma ◽  
Purushottam Jhanwar ◽  
Shiv Bhagwan Sharma
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Closed Reduction ◽  
Screw Fixation ◽  
Image Intensifier ◽  
Long Term Results ◽  
Calcaneal Fractures ◽  
Percutaneous Screw Fixation ◽  
Articular Fractures

<p class="abstract"><strong>Background:</strong> The treatment of displaced calcaneum fractures has been a subject of intense discussion. Displaced intra-articular calcaneum fractures gives poor result with conservative treatment and requires reduction and internal fixation for favourable long term results. Open procedures are more prone to complications regarding wound healing. Percutaneous fixation offers a middle pathway in treating simpler variety of displaced calcaneal fractures. The aim of the study was to access the functional outcome of intra articular fracture calcaneum managed with closed reduction by Essex-Lopresti technique and percutaneous screw fixation.</p><p class="abstract"><strong>Methods:</strong> This study was done in department of Orthopaedics Jhalawar medical college and SRG Hospital Jhalawar, Rajasthan from January 2015 to January 2018. 26 intra-articular calcaneal fractures treated with closed reduction and percutaneous screw fixation under image intensifier.<strong></strong></p><p class="abstract"><strong>Results:</strong> 25 cases evaluated (one patient had lost follow-up), all fractures were united, average time of union was 8 weeks. The mean AOFAS score was 80 (range from 45 to 96), 9 patients had excellent, 12 patients had good, 3 patients had fair and one patient had poor result for that subtalar arthrodesis was done after one year of follow-up. Average Bohler’s angle 24.5 and Gissane angle was 120 degree. No clinically significant varus or valgus in any case (less then 5 degree).</p><p class="abstract"><strong>Conclusions:</strong> Treatment of intra-articular fractures of calcaneum is challenging but close reduction and internal fixation with 6.5 cannulated cancellous screws yields favorable outcome in majority of cases.</p>

scholarly journals Application of Percutaneous Screw Fixation and Closed Reduction for Tibial Plateau Fractures in Karachi, Pakistan

2021 ◽  
pp. 25-30
Author(s):  
Muhammad Azeem Akhund ◽  
Muhammad Latif ◽  
Rahat Zahoor Moton ◽  
Zohaib Khan ◽  
Zohaib Nawaz ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Tibial Plateau ◽  
Screw Fixation ◽  
Case Series ◽  
Early Mobilization ◽  
Tibial Plateau Fractures ◽  
Type I ◽  
Percutaneous Screw Fixation ◽  
Schatzker Classification ◽  
Average Patient

Objective: Objective of this study is to assess the application of percutaneous screw fixation and closed reduction for tibial plateau fractures in Karachi, Pakistan. Methods: The study design of this study is case series with sample size of 58 patients calculated by WHO calculator with functional outcome of 80-100%. The duration of the study was about 6 months.Non-probability sequential technique was adopted for data collection. Results: The average patient age was 35.35±6.84 years however male patient were high in numbers (83.8%). Types of fractures (type I, II and IV) and functional outcomes (un-satisfactory and satisfactory) showed 17(29.3%), 33(56.8%) and 12(20.6%) and 4(6.45%) and 58(93.5%). The mean Rasmussen Score was 24.6(4.9%) however significant relationship between age and functional group were observed (p<0.05). The Rasmussen Functional Scoring System and Schatzker classification were also evaluated w.r.t ache, capability of walking normally, extension lag, stability as well as range of motion. Scores ranging from 28 up till 36 stipulate excellent, from 20 to 27 good, considering score of 10 to 20 fair and 6 to 10 poor. Conclusion: The application of Percutaneous screw fixation and closed reduction for tibial plateau fractures in Karachi, Pakistanis less invasive, decrease hospital stays and charges, escalation of early mobilization along with satisfactory outcomes.

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