Comparative Study of Open Reduction and Internal Fixation and Primary Subtalar Arthrodesis for Sanders Type 4 Intra-Articular Calcaneal Fractures

2017 ◽  
Vol 52 (1) ◽  
pp. 49 ◽  
Author(s):  
Seung Hun Woo ◽  
Hyung-Jin Chung ◽  
Su-Young Bae ◽  
Sun-Kyu Kim
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Open Reduction ◽  
Calcaneal Fractures ◽  
Subtalar Arthrodesis

Open Reduction and Internal Fixation Compared With ORIF and Primary Subtalar Arthrodesis for Treatment of Sanders Type IV Calcaneal Fractures

2014 ◽  
Vol 28 (10) ◽  
pp. 577-583 ◽  
Author(s):  
Richard Buckley ◽  
Ross Leighton ◽  
David Sanders ◽  
Jeffrey Poon ◽  
Chad P. Coles ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Calcaneal Fractures ◽  
Subtalar Arthrodesis ◽  
Type Iv

scholarly journals Comparative Study of Open Reduction and Internal Fixation and Primary Subtalar Arthrodesis for Sanders Type IV Intra-articular Calcaneal Fractures

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0004
Author(s):  
Seunghun Woo ◽  
Hyung Jin Chung ◽  
Su-Young Bae ◽  
Tae Sik Goh
Keyword(s):  
Patient Satisfaction ◽  
Internal Fixation ◽  
Clinical Outcomes ◽  
Open Reduction ◽  
Calcaneal Fractures ◽  
Subtalar Arthrodesis ◽  
Type Iv ◽  
Significant Difference ◽  
The Mean

Category: Trauma Introduction/Purpose: To compare clinical outcome of Sanders type IV intra-articular calcaneal fracture treated with open reduction and internal fixation (ORIF) versus ORIF and primary subtalar arthrodesis (PSTA). Methods: Between March 2003 and November 2013, 22 patients with 22 Sanders type IV intra-articular calcaneal fractures were included in this study. Of these, 11 feet were treated with ORIF (ORIF group), 11 feet were treated with ORIF and PSTA (PSTA group). The mean follow-up periods was 34.6 months (range, 18-72 months). Clinical outcomes were assessed along with the American Orthopaedic Foot and Ankle Society’s Ankle-Hindfoot Scale (AOFAS score), the Visual Analog Scale Pain score (VAS score) at 6-, 12 month, and last follow-up. The patient satisfaction, returning to previous occupation and postoperative complications were also investigated. Results: Complete bone union were achieved in all patients. No statistical difference was found between the results for ORIF compared with PSTA: the mean preoperative Bohler angle were, respectively, -3.2±9.2 and -6.6±12.7 degrees (p=0.475); the mean last follow-up AOFAS scores were 73.8±14.9 and 80.5±4.6 (p=0.795); the mean VAS last follow-up VAS scores were 29.7±20.6 and 23.4±10.0 (p=0.986). Secondary subtalar arthrodesis were conducted in 5 patients (45.5%) of ORIF group due to subtalar osteoarthritis symptom within 2 years, postoperatively. Conclusion: We were unable to demonstrate a significant difference of clinical outcomes between ORIF and PSTA however, the patient satisfaction was higher in the PSTA group. PSTA may be considerable choice for patients who need fast recovery to daily activity and to prevent the need for secondary subtalar arthrodesis.

OPEN REDUCTION AND INTERNAL FIXATION COMPARED WITH ORIF AND PRIMARY SUBTALAR ARTHRODESIS FOR TREATMENT OF SANDERS TYPE IV CALCANEAL FRACTURES: A RANDOMIZED COMPARATIVE PROSPECTIVE STUDY

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Pradeep Kumar Mundotiya ◽  
Anurag Dhaker ◽  
Manpreet Singh
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Prospective Trial ◽  
Economic Effects ◽  
Calcaneal Fractures ◽  
Long Term Outcome ◽  
Subtalar Arthrodesis ◽  
Type Iv ◽  
Additional Surgery ◽  
Significant Difference

Background: The present study was conducted to open reduction and internal fixation compared with ORIF and primary subtalar arthrodesis for treatment of sanders type IV calcaneal fractures Methods: Randomized comparative prospective trial conducted on Calcaneum fracture cases attending with orthopaedics department of S.M.S. Medical College and Hospital, Jaipur (Rajasthan, India) Results: SF 36, MFA, AHS and VAS score showed almost same results in both groups at 3 months which showed statistically non significant results. Conclusion: A randomized trial was unable to demonstrate any significant difference between ORIF compared with ORIF + PSTA for the treatment of isolated Sanders type IV fractures with respect to long-term outcome. ORIF + PSTA however, should be considered for patients with Sanders type IV fractures, and the health care system as they heal at a much more rapid rate, and will not require additional surgery. This must be considered as the choice of treatment may have profound economic effects on the patient. More research is needed to find the best solutions for these difficult fractures. Keywords: ORIF, PSTA, Fracture.

Open Reduction and Internal Fixation of Intra-articular Calcaneal Fractures in Children

Orthopedics ◽  
2012 ◽  
Vol 35 (6) ◽  
pp. e874-e879 ◽  
Author(s):  
Guang-rong Yu ◽  
Hong-mou Zhao ◽  
Yun-feng Yang ◽  
Jia-qian Zhou ◽  
Hai-feng Li
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Calcaneal Fractures ◽  
Fractures In Children

scholarly journals Novel Techniques in Treating Calcaneal Tuberosity Fractures

2014 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Selene G Parekh ◽  
Todd Bertrand ◽  
Robert Zura ◽  
Samuel Adams ◽  
Alan Yan
Keyword(s):  
Internal Fixation ◽  
Achilles Tendon ◽  
Open Reduction ◽  
Tendon Transfer ◽  
Flexor Hallucis Longus ◽  
Suture Anchors ◽  
Calcaneal Fractures ◽  
Longus Tendon ◽  
K Wires ◽  
Calcaneal Tuberosity

ABSTRACT Calcaneal tuberosity fractures comprise only 1 to 2% of all calcaneal fractures. Treatment of these injuries has traditionally included open reduction and internal fixation with various means including lag screws, suture anchors and K-wires. We report on a series of cases treated with excision of the tuberosity fragment with repair of the Achilles tendon supplemented by a flexor hallucis longus tendon transfer. Parekh S, Bertrand T, Zura R, Adams S, Yan A. Novel Techniques in Treating Calcaneal Tuberosity Fractures. The Duke Orthop J 2014;4(1):3-7.

Sign in / Sign up

Export Citation Format

Share Document