Primary subtalar arthrodesis using a minimally invasive technique for comminuted fractures of the calcaneum: technical report of a new method

Details

Serval ID
serval:BIB_7B8DC74F5D23
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Title
Primary subtalar arthrodesis using a minimally invasive technique for comminuted fractures of the calcaneum: technical report of a new method
Title of the conference
Annual meeting of the Swiss Society of Orthopaedics and Traumatology
Author(s)
Serra E., Pagano F., Assal M.
Address
St. Gallen, Switzerland, June 30-July 2, 2010
ISBN
1424-7860
Publication state
Published
Issued date
2010
Volume
140
Series
Swiss Medical Weekly
Pages
37S-38S
Language
english
Notes
Meeting Abstract
Abstract
Introduction:
Management of comminuted calcaneal fractures is controversial, and multiple factors, including fracture pattern and severity, soft-tissue integrity, medical co-morbidities, and lifestyle issues, influence the decision-making process. In an effort to minimize complications related to soft tissue lesions, a minimally invasive technique was developed that combines percutaneous reduction of the joint, restoration of the calcaneus shape (hindfoot) and subtalar joint debridement for primary arthrodesis.
Method:
A minimally invasive technique was used in an experimental series of four patients with a comminuted calcaneal fracture Sanders type III and IV. All patients were operated on within 8-10 days of injury. Complications were recorded and pre-op, post-op and final follow-up radiographs analysed.
Results:
Four patients were included, 2 with Sanders III and 2 with Sanders IV fractures. Radiologic follow-up showed no loss of height the calcaneum. Fusion across the arthrodesis site was radiographically evident in all patients between 8 and 12 weeks. No wound complications or infection were observed. Using the AOFAS score, the results were good in three cases and excellent in one case. 3 patients returned to their professional activity within 6 months and 1 was retired.
Conclusion:
We found this minimally invasive technique with primary fusion of the subtalar joint an effective and safe treatment option in selected patients with comminuted fractures of the calcaneum. These preliminary results justify future use of this technique.
Web of science
Create date
14/10/2010 14:03
Last modification date
20/08/2019 14:37
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