Diagnosis can be made with plain radiographs and CT studies are helpful for fracture characterization and surgical planning. The complication rates of open calcaneal fractures are high and increase with the severity of the wound. Scapula Fractures are uncommon fractures to the shoulder girdle caused by high energy trauma and associated with pulmonary injury, head injury, and increased injury severity scores. Figure 1: Skeleton model showing the location of the calcaneus. This allows you to push off as you take a step forward. The calcaneus not only provides support as you walk, but also connects your calf muscles to your foot. The complication rate was 21% and the mean AOFAS score was 73.7 points. The calcaneus, or heel bone, is a complex shaped bone located just below your ankle and extending to the back of your foot. Definitive surgery was performed after a mean of 9.8days and in most cases in the form of ORIF via ELA. Most wounds were Gustilo grade III and most fractures were Sanders type III. Only articles published from 1998 to 2017 were included and there were no language restrictions.Ī total of 18 articles were included with 616 open calcaneal fractures in 598 patients. Excluded were studies with less than 10 patients, studies describing combat injuries and reviews. The purpose of this study was to provide a literature overview on the management of open calcaneal fractures, and deduct a more standardized treatment algorithm.Ī literature review was conducted in the databases of PubMed, EMBASE and the Cochrane Library for articles describing the management of open calcaneal fractures. However, treatment of open calcaneal fractures might need a different approach, as open calcaneal fractures are associated with high rates of complications. There are several treatment options for calcaneal fractures. They are mostly caused by high-energy trauma.
Open fractures of the calcaneus are rare. Diagnosis is made with the presence of severe and progressive foot pain that worsens with the passive motion. An evaluation of the nature of the injury in 56 children. Foot Compartment Syndrome is a devastating lower extremity condition where the osseofascial compartment pressure rises to a level that decreases perfusion to the foot and may lead to irreversible muscle and neurovascular damage. Good prognosis after calcaneal fracture in childhood. Surgical versus non-surgical treatment of calcaneal fractures in children: a long-term results comparative study. the authors point out that the immature talus and calcaneus has a superior capacity to remodel
#Calcaneus fracture orthobullets free#
7 of the 9 patients were free of pain, had unrestricted foot function, and possessed no apparent gait abnormalities Commonly referred to as the heel bone, the calcaneus is the bone in the heel of the foot. Displaced, intra-articular fractures of the calcaneus are rare in the skeletally immature and reports of pediatric calcaneal fractures generally include both. of these 9 fractures, 8 were treated non-operatively and one was treated with ORIF Calcaneus Fracture Is a Broken Heel Bone. 9 patients were followed for an average of 4.4 years 18 (78%) of these fractures were intraarticular and five (22%) were extraarticular in the report by Mora, et al, the authors reviewed 22 skeletally immature patients with 23 calcaneal fractures articular fractures in skeletally immature children can be treated non-surgically conversely, those in children with skeletal maturity must be treated surgically extra-articular fractures can be treated non-surgically. articular fractures surgically treated in group B were satisfactory, and those non-surgically treated were mainly poor results of articular fractures in Group A were satisfactory regardless of the type of treatment extra-articular fractures were treated non-surgically and all results were satisfactory 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) in the study by Ceccarelli, et al, the authors compared surgical and non-surgical treatment of 46 calcaneal
0 kommentar(er)
