Optimum Screw Configuration for the Fixation of Sanders Type IIC Tongue-Type Fractures?

2018 ◽  
Vol 108 (1) ◽  
pp. 20-26
Author(s):  
Tayfun Bacaksız ◽  
Cemal Kazimoglu ◽  
Ali Reisoglu ◽  
Ali Turgut ◽  
Erdem Kumtepe ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Screw Fixation ◽  
Axial Loading ◽  
Load Test ◽  
The Other ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Calcaneal Fractures ◽  
Percutaneous Screw Fixation ◽  
Fracture Displacement

Background: The minimally invasive technique (percutaneous screw fixation) is one of the options for treating tongue-type IIC fractures successfully. The aim of this study was to assess the biomechanics of four different screw configurations used for the fixation of tongue-type IIC calcaneal fractures. Methods: Identical osteotomies, recapitulating a type IIC injury, were created in synthetic calcaneus specimens using a saw. The specimens were randomly assigned to one of the four fixation groups (n = 7 per group): two divergent screws, two parallel screws, two parallel screws plus one screw axially oriented toward the sustentaculum tali, and three parallel screws. A load test was performed on all of the groups, and the specimens were then tested using offset axial loading until 2, 4, and 5 mm of fracture displacement occurred. Results: Mean force values for the three–parallel screw construct at 2-, 4-, and 5-mm fracture displacements were found to be significantly higher compared with those for the other groups. Conclusions: The use of a three–parallel screw construct seems to provide more stability in the treatment of tongue-type IIC fractures.

A modified minimally invasive technique for intra-articular displaced calcaneal fractures fixed by transverse and axial screws

2017 ◽  
Vol 27 (7) ◽  
pp. 997-1004 ◽  
Author(s):  
K. C. Kapil Mani ◽  
Parimal Acharya ◽  
R. C. Dirgha Raj ◽  
Bandhu Ram Pangeni ◽  
Arun Sigdel ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Calcaneal Fractures

Surgical treatment of displaced intraarticular calcaneal fractures by a minimally invasive technique using a locking nail: A preliminary study

2019 ◽  
Vol 25 (5) ◽  
pp. 679-683 ◽  
Author(s):  
Fabrizio Fascione ◽  
Michele Di Mauro ◽  
Matteo Guelfi ◽  
Francesc Malagelada ◽  
Andrea Pantalone ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Calcaneal Fractures ◽  
Locking Nail ◽  
Preliminary Study

scholarly journals Management of displaced intraarticular calcaneal fractures by minimally invasive technique: A prospective study

2018 ◽  
Vol 4 (4) ◽  
pp. 192-196
Author(s):  
Dr. Md. Shiraz Ali ◽  
Dr. Birender Kumar ◽  
Dr. ND Kachhap ◽  
Dr. Jacob Eapen ◽  
Dr. Sana Khurshid ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Calcaneal Fractures ◽  
A Prospective Study

scholarly journals K. wire fixation versus conservative treatment of closed displaced intra-articular calcaneal fractures

2019 ◽  
Vol 15 (1) ◽  
pp. 86-94
Author(s):  
Mohammed Sh. Al-Edanni
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Treatment Result ◽  
Invasive Technique ◽  
Calcaneal Fractures ◽  
Articular Fractures ◽  
Subtalar Arthritis ◽  
Wire Fixation ◽  
One Year

Background: Calcaneus is a spongy cancellous bone with rich blood supply , its fracture heals more rapidly providing no occurrence of infection and soft tissue injury around ,no gross malposition of fragments. The associated pain leads to a major impairment in life quality. The aim of treatment for calcaneal fractures is the decrease of pain and rebuilding of walking ability for patients with normal foot shape and the ability to wear normal foot wear. To reduce complications, a minimally invasive technique for the treatment of displaced intra-articular fractures of the calcaneus was preferred to use. The purpose of this study was to determine whether the closed reduction and percutaneous K. wire fixation of displaced intra-articular calcaneal fractures results in better functional outcome at a minimum one year follow up after the injury compared with those after non-operative management. Methods: One hundred and eleven displaced closed intra-articular calcaneal fracture in 105 patients (six were bilateral) were seen at the orthopedic department of Al-Kindy teaching hospital and Shaih Zaid hospital , only 45 cases included in this study and prospectively evaluated with an average follow-up time of minimum  of one year (1–3years follow-up). For radiographic evaluation, plain radiographs and CT scans were obtained. The Maryland Foot Score was used for clinical estimate. Sanders type II, III and IV fractures were diagnosed. Results: The incidence of subtalar arthritis was correlated with the severity of fracture. Böhler’s angle was restored in 70.1% (47 of 67) of the cases. The majority (77.7%) of patients were content with their treatment result. The rate of significant complications was 6.5%. Discussion: Percutaneous K. wire fixation of displaced intra-articular calcaneal fractures presented minimally invasive technique which showed comparable results with a low rate of serious complications and is a viable alternative for the treatment of intra-articular, dislocated calcaneal fractures. Conclusions: the functional results after K. wires fixation of displaced intra-articular calcaneal fractures were better than those after non-operative care.

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