//]]>-->. Federal government websites often end in .gov or .mil. Foot Ankle Int. Thornton SJ, Cheleuitte D, Ptaszek AJ, Early JS. A frustrating factor that perpetuates this disagreement is the subset of calcaneus fractures with poor long-term outcomes, regardless of management. Mann's Surgery of the Foot and Ankle. [QxMD MEDLINE Link]. Calcaneal FracturesLover's Fracture. Int Orthop. The body of the calcaneus is composed primarily of cancellous bone, having a comparatively thin cortex. Dhillon et al performed a prospective evaluation comparing results in 16 patients who had open fractures treated with minimally invasive surgery (MIS; group 1) and nine patients who had closed fractures treated with ORIF (group 2). Grala et al reported ontwo groups of patients who underwent operative treatment for articular fractures of the calcaneus, one (n = 23) treated by standard reconstruction and the other (n = 19) treated with a large bone distractor. Juliano P, Myerson MS. Fractures of the hindfoot. Essex-Lopresti P. The mechanism, reduction technique, and results in fractures of the os calcis, 1951-52. - displaced supero-lateral fragment can impinge upon peroneal tendons; - Complications of Treatment, Current Concepts Review. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Calcaneal Fractures - Should We or Should We not Operate?. Juliano P, Nguyen HV. Epub 2020 Oct 27. Philadelphia: Wolters Kluwer; 2022. Scott Nicklebur, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American College of PhysiciansDisclosure: Nothing to disclose. - Displacement of the Sustentacular Fragment in Intra-Articular Calcaneal Fractures Outcomes according to the AOFAS score were excellent or good in 80% of cases. 30 (3):e75-81. - main goal is to regain calcaneal height and width and to take the calcaneus out of varus alignment; [1] However, a true consensus regarding the management of these fractures has long eluded practitioners. 2009 May-Jun. It can show the extent and extra- or intra-articular components of the fracture and hematoma along the sole of the foot (Mondor sign). [23] Patients in whom the distractor was used had shorter operating times, and less effort was required in performing the surgery. A prospective study, Intraarticular calcaneal fractures. 2020 Jun. Calcaneal fractures are best assessed with a calcaneal series of radiographs, though are often identified on a lateral ankle radiograph if the presentation does not lead the requesting of calcaneal views specifically.
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