Abstract
The optimal treatment of calcaneal fractures remains controversial [2–4, 6–11, 14, 18, 19, 23, 24]. During the last few years an increasing number of surgeons have reported encouraging results of internal fixation for displaced intra-articular fractures of the calcaneus [2, 6, 12, 15, 17, 20, 22, 26–28]. The prerequisites for open reduction and internal fixation are: good general condition, good soft tissues, an interval of less than 3 weeks after injury, no arterial occlusive disease, and a reliable patient. In contrast functional treatment is indicated for patients in bad general condition, for unreliable patients, those with severe arterial occlusive disease or with severe soft tissue problems, when there has been an interval of more than 3 weeks since the injury, and in cases of undisplaced or completely “smashed” fractures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bauer G, Mutschier W, Heuchemer T, Lob G (1987) Fortschritte in der Diagnostik der intraarticulären Calcaneusfrakturen durch die Computertomographie. Unfallchirurg 90:496–501
Bèzes H, Massart P, Fourquet JP (1984) Die Osteosynthese der Calcaneusimpressions-fraktur. Unfallheilkunde 87:363–368
Böhler L (1963) Die Technik der Knochenbruchbehandlung. Maudrich, Wien
Buch J (1980) Bohrdrahtosteosynthese des Fersenbeinbruches. Aktuel Chir 15:285–296
Crosby LA, Fitzgibbons T (1990) Computerized tomography scanning of acute intra-ar-ticular fractures of the calcaneus. J Bone Joint Surg [Am] 2:852–859
Eberle C, Landolt M (1986) Ergebnisse nach Osteosynthese von intraarticulären Calcaneusfrakturen. Z Unfallchir Versicherungsmed Berufskr 79:125–128
Essex-Lopresti P (1952) The mechanism, reduction technique and results in fractures of os calcis. Br J Surg 39:395–419
Giachino AA, Uthoff HK (1989) Current concept review intra-articular fractures of the calcaneus. J Bone Joint Surg [Am] 784–787
Harding D, Waddell JP (1985) Open reduction in fractures of the os calcis. Clin Orthop 199:124–130
Hörster G (1988) Indikation zur konservativen-operativen Behandlung der Fersenbeinfraktur. Unfallchirurg 91:502–506
Järvholm U, Körner L, Thores O, Wiklund LM (1984) Fractures of the calcaneus. A comparison of open and closed treatment. Acta Orthop Scand 55:652–656
Johnson E (1990) Intraarticular fractures of the calcaneus: diagnosis and surgical management. Orthopedics 13:1091–1099
Kempf I, Touzard RC (1978) Les fractures du calcanéum. J Chir (Paris) 115:377–386
Knopp W, Neumann K, Vogelheim P, Kayser M (1988) Kann die operative Therapie von Fersenbeinbrüchen Spätfolgen verhindern? Hefte Unfallheilk 200:449–450
Leung KS, Chan WS, Shen WY, Pak PPL, So WS, Leung PC (1989) Operative treatment of intraarticular fractures of the os calcis: the role of rigid internal fixation and primary bone grafting. Preliminary results. J Orthop Trauma 3:232–240
Lowrie IG, Finlay DB, Brenkel IJ, Gregg PJ (1988) Computerized tomographic assessment of the subtalar joint in calcaneal fractures. J Bone Joint Surg [Br] 70:247–250
Mutschler E (1988) Der Fersenbeinbruch — detaillierte Diagnostik, Klassifikation und Konsequenzen für die Therapie. Unfallchirurg 91:486–492
Poigenfürst J, Buch J (1988) Behandlung der schweren Brüche des Fersenbeines durch Reposition und perkutane Bohrdrahtfíxation. Unfallchirurgie 91:493–501
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
Regazzoni P (1991) Behandlung von Calcaneusfrakturen. Basler Beitr Chir 3:49–62
Regazzoni P (1988) Technik der stabilen Osteosynthese bei Calcaneusfrakturen. Hefte Unfallheilk 200:432–439
Ross SD, Sowerby MR (1985) The operative treatment of fractures of the os calcis. Clin Orthop 199:132–143
Russe OJ, Russe F (1989) Klinische und radiologische Nachuntersuchung von 149 Fersenbeinbrüchen nach percutaner Aufrichtung und Fixation. Hefte Unfallheilk 200:445–448
Schellmann WD (1988) Technik der Bohrdrahtosteosynthese. Hefte Unfallheilk 200:426–431
Segal D, Marsh JL, Leiter B (1985) Clinical application of computed axial tomography scanning of calcaneal fractures. Clin Orthop 199:114–123
Stephenson JR (1987) Treatment of displaced intraarticular fractures of the calcaneus using medial and lateral approaches, internal fixation and early motion. J Bone Joint Surg [Am] 69:115–130
Zwipp H, Tscherne H, Wülker N (1988) Osteosynthese dislozierter intraarticulärer Calcaneusfrakturen. Unfallchirurg 91:507–515
Zwipp H, Tscherne H, Wülker N, Grote R (1989) Der intraarticuläre Fersenbeinbruch. Klassifikation, Bewertung und Operationstaktik. Unfallchirurg 92:117–129
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Regazzoni, P., Mosimann, P., Calthorpe, D. (1993). Classification and Results of ORIF of Calcaneal Fractures. 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_18
Download citation
DOI: https://doi.org/10.1007/978-3-642-77729-5_18
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-77731-8
Online ISBN: 978-3-642-77729-5
eBook Packages: Springer Book Archive