medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2013, Number 1

<< Back Next >>

Ortho-tips 2013; 9 (1)

Fracturas de calcáneo: un verdadero reto

Cuevas OH

Language: Spanish
References: 22
Page: 41-49
PDF size: 524.59 Kb.


ABSTRACT

The principles for the treatment of intra-articular calcaneal fractures include anatomic reduction of the posterior articular facet, retrieve the width, length and height of the calcaneus. The extended lateral approach in L has won wide popularity for fixation of intra-articular fractures of the calcaneus and proved excellent exposure, providing access for manipulation and fixation of fractures. However, Sanders and Benirschke reported complications up to 16%. Patients may develop soft tissue complications, such as flap necrosis and infection of the surgical wound. In addition some patients may require amputation because of the failure of the management of wound infection. Other complications include postraumatic subtalar arthritis and pinched lateral peroneal sheath. Often subtalar arthrodesis requires decompression and relieve symptoms.


REFERENCES

  1. Benirschke SK, Mayo DA, SangeorzanBJ et al. Results of operative treatment of os calcis fractures. AAOS 57th Annual Meeting, New Orleans, Lousiana, February 1990.

  2. Beltran MJ, Collinge CA. Outcomes of high-grade open calcaneus fractures managed with open reduction via the medial wound and percutaneus screw fixation. J Orthop Trauma. 2012; 26 (11).

  3. Buclkley RE, Mee RN. Comparison of open versus closed reduction of intra-articular calcaneal fractures: A matched cohort in workmen. J Orthop Trauma. 1992; 6: 216.

  4. Burdeaux BD. Redution of calcaneal fracture by the McReynolds medial approach, tecnique and experimental basis. Clin Orthop. 1983; 177: 87.

  5. Carr JB, Beaudoin AR, Bera LS. Histomorphometry and screw pull-out loads in the calcaneus. Presented at the Orthopaedic Trauma Association Annual Meeting, 1990.

  6. Carr JB, Hamilton JJ, Bear LS. Experimental intra-articular calcaneus fractures: Anatomic basis for a new classification. Foot and Ankle. 1989; 10: 81.

  7. Crosby LA, Fitzgibbons T. Computed tomographic scanning of acute intra-articular calcaneus fractures: A new classification system. J Bone Joint Surg. 1990; 72: 852.

  8. DeWall M, Henderson CE, McKinleyT O, Marsh JL et al. Percutaneous reduction and fixation of displaced intra-artricular calcaneus fractures. J Orthp Trauma. 2010; 24 (8).

  9. Essex-Lopresti P. The mecanism, reduction technique and results in fractures of the os calcis. Br J Surg. 1952; 39: 395-419.

  10. Gardner MJ, Nork SE, Barei DP, Kramer PA, Sangeorzan BJ, Benirschke SK. Secondary soft tissue compromise in tongue-type calcaneus fractures. J Orthop Trauma. 2008; 22 (7): 439-445.

  11. Hal lRL, Shereff MJ. Anatomy of the calcaneus. Clin Orthop. 1993; 290: 27-39.

  12. Harty M. Anatomic considerations in injuries of the calcaneus. Orthop Clin North Am. 1973; 4: 179.

  13. Jarvholm V, Korner L, Thoren O et al: Fractures of the calcaneus. A comparison of open and closed treatment. Acta Orthop Scand. 1984; 55: 652-656.

  14. Koval KJ, Sanders R. The radiologic evaluation of calcaneal fractures. Clin Orthop. 1993; 290: 41.

  15. Lindsay WR, Dewar FP. Fractures of the os calcis. Am J Surg. 1958; 95A: 555.

  16. Manoli A II, Weber TG. Fasciotomy of the foot: An anatomical study with special reference to release of the calcaneal compartment. Foot and Ankle. 1990; 10: 267.

  17. Metha S, Mirza AJ, Dunbar RP, Barei DO, Benirschke S. A staged treatment plan for the management of tip II and tip III a open calcaneus fractures. J Orthp Trauma. 2010; 24 (3).

  18. Plakseychuk A, Wukich DK. Ilizarov external fixator in foot and ankle reconstruction. Current Op Orthopaedics. 2006; 17: 124-128.

  19. Sanders R, Fortin P, Dipasquale T et al. Operative treatment en 120 displaced calcaneal fractures: Results using a prognostic computed tomography scan classification. Clin Orthop. 1993; 290: 87-95.

  20. Stephenson JR. Treatment of displaced intra-articular fractures of the calcaneus using medial and lateral approaches, internal fixation and early motion. J Bone Joint Surg. 1987: 69A: 115.

  21. Wang Q, Chen W, Su Y, Pan J, Zhang Q, Peng A, Wu X, Wang P, Zhang Y. Minimally invasive treatment of calcaneal fractures by percutaneous leverage, anatomical plate, and compression bolts- The clinical evaluation of cohort of 156 patientes. J Trauma Injury, Infect Crit Care. 2010; 69 (6).

  22. Zwipp H, Tscherne H, Weber T. Osteosynthesis of displaced intraarticular fractures of the calcaneus. Results in 123 cases. Clin Orthop Relat Res. 1993; 290: 76-86.




2020     |     www.medigraphic.com