Abstract
The calcaneum is the most commonly fractured tarsal bone, and to date is still regarded as an enigma for orthopaedic surgeons. Therapeutic options are varied, and one can find support for either aggressive or conservative methods of treatment. The controversy between operative and conservative treatment hinges on the patient’s clinical result, many facets of which are purely subjective in nature. The resultant disability is difficult to establish, as it depends on the patient’s ability to return to premorbid activities. Gait abnormality, pain, and decreased subtalar and ankle range of motion are just a few of the factors that must be considered when evaluating the functional results following these difficult fractures. The confusion regarding treatment options is also the result of inconsistent radiographic methods used to evaluate the fractured os calcis. This paper describes our method of operative treatment of this fracture, with an analysis of the functional results following treatment.
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References
Aitken AP (1963) Fractures of the os calcis — treatment by closed reduction. CORR 30:67–75
Bèzes H, Massart P, Fourquet JP (1984) Die Osteosynthese der Calcaneus-Impressions-fraktur. Unfallheilkunde 87:363–368
Böhler L (1956) Treatment of fractures, 5th edn. Grune and Stratton, New York
Burdeaux BD (1983) Reduction of calcaneal fractures by the McReynolds medial approach: technique and its experimental basis. CORR 177:87–103
Carr JB, Hansen ST, Benirschke SK (1988) Subtalar distraction bone block fusion for late complications of os calcis fractures. Foot Ankle 9/2:81–86
Cave EF (1963) Fracture of the os calcis — the problem in general. CORR 30:64–66
Essex-Lopresti P (1951) Results of reduction in fractures of the calcaneum. J Bone Joint Surg [Br] 33:284
Essex-Lopresti P (1952) The mechanism, reduction technique and results in fractures of the os calcis. Br J Surg 39:395–419
Gallie WE (1943) Subastragalar arthrodesis in fractures of the os calcis. J Bone Joint Surg 25:731–736
Gilmer PW, Herzenberg J, Frank JL, Silverman P, Martinez S, Goldner JL (1986) Computerized tomographic analysis of acute calcaneal fractures. Foot Ankle 6/4:184–193
Gould N (1984) Lateral approach to the os calcis. Foot Ankle 4/4:218–220
Hall MC, Pennal GF (1960) Primary subastragalar arthrodesis in the treatment of severe fractures of the calcaneum. J Bone Joint Surg [Br] 42:336–343
Lance EM, Carey EJ Jr, Wade PA (1963) Fractures of the os calcis — treatment by early mobilization. CORR 30:76–90
LeTournel E (1984) Open reduction and internal fixation of calcaneus fractures. In: Spiegel P (ed) Topics in orthopaedic trauma. Aspen, Baltimore, pp 173–192
Maxfield JE (1963) Os calcis fractures — treatment by open reduction. CORR 30:91–99
Palmer I (1948) The mechanism and treatment of fractures of the calcaneus: open reduction with the use of cancellous grafts. J Bone Joint Surg [Am] 30:2–6
Pozo SL, Kirwan EO’G, Jackson AM (1984) The long term results of conservative management of severely displaced fractures of the calcaneus. J Bone Joint Surg [Br] 66/3:386–390
Ross DK (1987) The operative treatment of complex os calcis fractures. Techniques Orthop 2/3:55–70
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
Sartoris DJ, Feingold ML, Resnick D (1985) Axial computed tomographic anatomy of the foot: 1: Hindfoot. J Foot Surg 24/6:392–412
Stephenson JR (1987) Treatment of displaced intraarticular fractures of the calcaneus using a medial/lateral approach, internal fixation and early motion. J Bone Joint Surg [Am] 69:115–130
Tanke GM (1982) Fractures of the calcaneus: a review of the literature together with some observations on methods of treatment. Acta Chir Scand Suppl 505:1–103
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© 1993 Springer-Verlag Berlin Heidelberg
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Benirschke, S.K., Mayo, K.A., Sangeorzan, B.J., Hansen, S.T. (1993). Results of Operative Treatment 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_21
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DOI: https://doi.org/10.1007/978-3-642-77729-5_21
Publisher Name: Springer, Berlin, Heidelberg
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