Abstract:
PURPOSE:The best treatment for intra-articular fractures of the calcaneus is still debated. The aims of this study were to determine whether intrafocal reduction of thalamic fractures is effective, to evaluate whether a locking nail is able to maintain reduction of the articular surface and to analyse the functional results of this original method. METHODS:This prospective study assessed 69 fractures treated with a locking fracture nail in 63 cases and with primary subtalar fusion in six (Calcanail (®), FH). Articular congruity and global reduction of the calcaneus was assessed in all patients by computed tomography (CT) scan three months postoperatively. Functional results were evaluated according to the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score (AOFAS-AHS) and all complications recorded. RESULTS:For the 63 fracture nails, the average AOFAS score was 85.9 at a mean final follow-up of 12 months. Only three secondary fusions were performed. For the six comminuted fractures requiring primary fusion, the average AOFAS score was 75.9 at the last follow-up. CONCLUSIONS:The posterior intrafocal approach for both reduction and locked nailing of intra-articular calcaneal fractures has been proven as an effective and reliable procedure.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Simon P,Goldzak M,Eschler A,Mittlmeier Tdoi
10.1007/s00264-015-2816-5subject
Has Abstractpub_date
2015-10-01 00:00:00pages
2061-7issue
10eissn
0341-2695issn
1432-5195pii
10.1007/s00264-015-2816-5journal_volume
39pub_type
杂志文章abstract:PURPOSE:To review available approaches and fixation methods for posterolateral fracture fragment (PLF) in tibial plateau fracture, and to propose an algorithm to treat various types of plateau fractures which all involve the PLF. METHODS:This article reviews multiple surgical approaches for PLF and suggests an algorit...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
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journal_title:International orthopaedics
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更新日期:2015-04-01 00:00:00
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更新日期:2013-10-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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更新日期:1993-01-01 00:00:00
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更新日期:2010-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2011-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2017-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1994-01-01 00:00:00
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更新日期:2020-11-01 00:00:00
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更新日期:2001-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-019-04386-y
更新日期:2019-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00317825
更新日期:1988-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1812-x
更新日期:2013-05-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:1989-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2011-11-01 00:00:00
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journal_title:International orthopaedics
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更新日期:1995-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267839
更新日期:1981-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2009-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2009-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1449-6
更新日期:2012-02-01 00:00:00