Skip to main content
SpringerLink
Log in

Comparison of Open Versus Closed Reduction of Intra-articular Calcaneal Fractures: A Matched Cohort in Workmen

  • Conference paper
Major Fractures of the Pilon, the Talus, and the Calcaneus

Abstract

The treatment of intra-articular calcaneal fractures has been very controversial because of good results claimed with and without operations [12, 14, 19, 36, 37]. Intra-articular fractures in other weight-bearing joints are routinely treated with anatomical reduction and rigid fixation. No good prospective, randomized studies exist in this area of fracture surgery. Paley, in a review in 1989, saw the lack of standardization in fracture classification and evaluation protocol to be the main reason for the lack of progress in the literature in definitive calcaneal fracture surgery [25].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Aaron DAR, Howat TW (1976) Intra-articular fractures of the calcaneum. Injury 7:205–211

    Article  PubMed  CAS  Google Scholar 

  2. Barnard L (1963) Non-operative treatment of fractures of the calcaneus. J Bone Joint Surg [Am] 45:865–867

    Google Scholar 

  3. Böhler L (1931) Diagnosis, pathology and treatment of fractures of the os calcis. J Bone Joint Surg 13:75–88

    Google Scholar 

  4. Burdeaux BD (1983) Reduction of calcaneal fractures by the McReynolds medical approach technique and its experimental basis. Clin Orthop 177:87–103

    PubMed  Google Scholar 

  5. Cassebaum WH (1965) Open reduction of os calcis fractures. J Trauma 5:718–725

    Article  PubMed  CAS  Google Scholar 

  6. Colburn MW, Karlin JM, Scuran BL, Silvani SH (1989) Intra-articular fractures of the calcaneus: a review. J Foot Surg 28:249–254

    PubMed  CAS  Google Scholar 

  7. Essex-Lopresti P (1952) The mechanism, reduction technique and results in fractures of the os calcis. Br J Surg 39:395–419

    Article  PubMed  CAS  Google Scholar 

  8. Gaul JS, Greenberg BG (1966) Calcaneus fractures involving the subtalar joint: a clinical and statistical survey of 98 cases. South Med J 59:605–613

    Article  PubMed  Google Scholar 

  9. Giachino AA, Uhthoff HK (1989) Intra-articular fractures of the calcaneus. J Bone Joint Surg [Am] 71:784–787

    CAS  Google Scholar 

  10. Guyer BH, Levinsohn EM, Fredrickson BE, Baily GE, Formikell M (1985) Computed tomography of calcaneal fractures: anatomy, pathology, dosimetry, and clinical relevance. Am J Radiol 145:911–919

    CAS  Google Scholar 

  11. Hall MC, Pennal GF (1960) Primary subtalar arthrodesis in the treatment of severe fractures of the calcaneum. J Bone Joint Surg [Br] 42:336–343

    Google Scholar 

  12. Hammesfahr JFR (1989) Surgical treatment of calcaneal fractures. Orthop Clin North Am 20:679–689

    PubMed  CAS  Google Scholar 

  13. Harding D, Waddell JP (1985) Open reduction in depressed fractures of the os calcis. Clin Orthop 199:124–131

    PubMed  Google Scholar 

  14. Hazlett JW (1969) Open reduction of fracture of the calcaneum. Can J Surg 12:310–317

    PubMed  CAS  Google Scholar 

  15. Heger L, Wulff K (1985) Computed tomography of the calcaneus: normal anatomy. Am J Radiol 145:123–129

    CAS  Google Scholar 

  16. Heger L, Wulff K, Seddiqi MSA (1985) Computed tomography of calcaneal fractures. Am J Radiol 145:131–137

    CAS  Google Scholar 

  17. Hindman BW, Ross SDK, Sowerby MRR (1986) Fractures of the talus and calcaneus: evaluation by computed tomography. CT J Comp Tomogr 10:191–196

    Article  CAS  Google Scholar 

  18. Jarvholm U, Korner L, Thoren O, Wiklund L (1984) Fractures of the calcaneus: a comparison of open and closed treatment. Acta Orthop Scand 55:652–656

    Article  PubMed  CAS  Google Scholar 

  19. Leung K, Chan W, Shen W, Poh PPL, So W, Leung P (1989) Operative treatment of intra-articular fractures of the os calcis — the role of rigid internal fixation and primary bone grafting: preliminary results. J Orthop Trauma 3:232–240

    Article  PubMed  CAS  Google Scholar 

  20. Lindsay WRN, Dewar FP (1958) Fractures of the os calcis. Am J Surg 95:555–576

    Article  PubMed  CAS  Google Scholar 

  21. McMaster M (1976) Disability of the hindfoot after fracture of the tibial shaft. J Bone Joint Surg [Br] 58:90–93

    CAS  Google Scholar 

  22. Maxfield JE (1963) Treatment of calcaneal fractures by open reduction. J Bone Joint Surg [Am] 45:868–871

    Google Scholar 

  23. Miller WE (1983) Pain and impairment considerations following treatment of disruptive os calcis fractures. Clin Orthop 177:82–86

    PubMed  Google Scholar 

  24. Nade S, Monahan PRW (1973) Fractures of the calcaneum: a study of the long-term prognosis. Injury 4:200–207

    Article  PubMed  CAS  Google Scholar 

  25. Paley D, Hall H (1989) Calcaneal fracture controversies — can we put humpty dumpty together again? Orthop Clin North Am 20:665–677

    PubMed  CAS  Google Scholar 

  26. Paley D, Hall H, McMurtry R, Green R (1987) Operative treatment of calcaneal fractures: a long term follow-up; calcaneal protocol; and factors that affect outcome. Trans Orthop 11:484

    Google Scholar 

  27. Palmer I (1948) The mechanism and treatment of fractures of the calcaneus. J Bone Joint Surg [Am] 30:2–8

    Google Scholar 

  28. Pennal GF, Yadev MP (1973) Operative treatment of comminuted fractures of the os calcis. Orthop Clin North Am 4:197–211

    PubMed  CAS  Google Scholar 

  29. Pozo JL, Kirwan E, Jackson AM (1984) The long-term results of conservative management of severely displaced fractures of the calcaneus. J Bone Joint Surg [Br] 66:386–390

    CAS  Google Scholar 

  30. Ross SDK, Sowerby MRR (1985) The operative treatment of fractures of the os calcis. Clin Orthop 199:132–143

    PubMed  Google Scholar 

  31. Rowe CR, Sakellarides HT, Freeman PA, Sorbie C (1963) Fractures of the os calcis: A long-term follow-up study of 146 patients. JAMA 184:920–923

    Article  Google Scholar 

  32. Salsbury CR (1962) A statistical review of fractures of the calcaneus. Can J Surg 5:48–53

    PubMed  CAS  Google Scholar 

  33. Sclamberg EL, Davenport K (1988) Operative treatment of displaced intra-articular fractures of the calcaneus. J Trauma 28:510–516

    Article  PubMed  CAS  Google Scholar 

  34. Slatis P, Kiviluoto O, Santavirta S, Laasonen EM (1979) Fractures of the calcaneus. J Trauma 19:939–943

    Article  PubMed  CAS  Google Scholar 

  35. Soeur R, Remy R (1975) Fractures of the calcaneus with displacement of the tholamis portion. J Bone Joint Surg [Br] 57:413–421

    CAS  Google Scholar 

  36. Stephenson JR (1987) Treatment of displaced intra-articular fractures of the calcaneus using medial and lateral approaches, internal fixation, and early motion. J Bone Joint Surg [Am] 69:115–130

    CAS  Google Scholar 

  37. Stephenson JR (1983) Displaced fractures of the os calcis involving the subtalar joint: the key role of the superomedial fragment. Foot Ankle 4:91–101

    PubMed  CAS  Google Scholar 

  38. Techner LM, Eannace RJ (1987) Computerized tomography in the evaluation of old calcaneal fractures. J Am Pod Med Assoc 77:243–245

    CAS  Google Scholar 

Download references

Authors
  1. R. E. Buckley
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. N. Meek
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Konstanty-Gutschow-Strasse 8, W-3000, Hannover 61, Germany

    Harald Tscherne

  2. Sunnybrook Medical Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada

    Joseph Schatzker

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Buckley, R.E., Meek, R.N. (1993). Comparison of Open Versus Closed Reduction of Intra-articular Calcaneal Fractures: A Matched Cohort in Workmen. In: Tscherne, H., Schatzker, J. (eds) Major Fractures of the Pilon, the Talus, and the Calcaneus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77729-5_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-77729-5_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77731-8

  • Online ISBN: 978-3-642-77729-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation