Primary subtalar arthrodesis using a minimally invasive technique for comminuted fractures of the calcaneum: technical report of a new method
Détails
ID Serval
serval:BIB_7B8DC74F5D23
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Institution
Titre
Primary subtalar arthrodesis using a minimally invasive technique for comminuted fractures of the calcaneum: technical report of a new method
Titre de la conférence
Annual meeting of the Swiss Society of Orthopaedics and Traumatology
Adresse
St. Gallen, Switzerland, June 30-July 2, 2010
ISBN
1424-7860
Statut éditorial
Publié
Date de publication
2010
Volume
140
Série
Swiss Medical Weekly
Pages
37S-38S
Langue
anglais
Notes
Meeting Abstract
Résumé
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.
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
Création de la notice
14/10/2010 15:03
Dernière modification de la notice
20/08/2019 15:37
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