Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block
Advances in Surgical Sciences
Volume 6, Issue 2, December 2018, Pages: 45-49
Received: Aug. 1, 2018;
Accepted: Aug. 20, 2018;
Published: Sep. 17, 2018
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Chunguang Sun, Department of Orthopedic, Funing County People's Hospital of Jiangsu, Funing, China
Qijia Zhou, Department of Orthopedic, Funing County People's Hospital of Jiangsu, Funing, China
Cheng Li, Department of Orthopedic, Funing County People's Hospital of Jiangsu, Funing, China
Qirong Dong, Department of Orthopaedic, the Second Affiliated Hospital of Soochow University, Suzhou, China
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To discuss the surgical efficacy and experience of calcaneal fracture combined with die-punch bone block. Open reduction and internal fixation for 27 patients (27 feet) with calcaneal fracture combined with die-punch bone block were performed, the die-punch bone blocks were untreated in earlier stage, calcaneal anatomical recovery and function were evaluated during follow-up in one year after surgery. The follow-up results for the 27 patients in one year after the surgeries show the postoperative width of intraoperative die-punch bone block treatment group was significantly better than that of non-treatment group (p<0.05), the postoperative functional scores of treatment group were superior to those of non-treatment group (p<0.05), and there were no significant differences in preoperative and postoperative calcaneal height, length, Bohler angle and Gissane angle between treatment group and non-treatment group (p>0.05). According to 100-point criteria of Tieliang Zhang, there were 1 excellent case, 2 good cases, 4 medium cases and 2 poor cases in non-treatment group, and there were 5 excellent cases, 10 good cases, 2 medium cases and 1 poor case in treatment group; the scores of the treatment group were better than those of the untreated group (p<0.05). For intra-articular calcaneal fractures combined with die-punch bone block, it is necessary to pay attention to the surgical anatomical reduction. The steps of articular surface should be controlled within 1mm. The treatment for calcaneal fracture combined with die-punch bone block must be performed by open reduction and internal fixation, and meanwhile the treatment for die-punch bone block should be emphasized, in order to reduce the occurrence of dysfunction during recovery.
Intra-Articular Calcaneal Fracture, Die-Punch Bone Blocks, Internal Fixation
To cite this article
Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block, Advances in Surgical Sciences.
Vol. 6, No. 2,
2018, pp. 45-49.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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Sanders R, Fortin P, DiPasquale A, et al. Operative treatment in 120 displaced intra-articular calcaneal fractures: results using a prognostic computed tomography scan classification. Clin Orthop Relat Res, 1993, (290): 87-95.
Zhang Tieliang, Yu Jianhua. Intra-articular fracture of calcaneus. Chinese Journal of Orthopaedics, 2000, (2): 117-120.
Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res, 1987, (216): 109-119.
Scheck M. Long-term follow-up of treatment of comminuted fractures of the distal end of the radius by transfixation with Kirsehner wires and cast. J Bone Joint Surg Am, 1962(2), 44(2): 337-351.
Borrelli J Jr, Torzilli PA, Grigiene R, et a1. Effect of impact load on articular cartilage: development of an intra-articular fracture model. J Orthop Trauma, 1997, 11(5): 319-326.
Li Zhongjun, Xiao Chunling, Yin Jianxin, et a1. Long term outcome of calcaneal fracture involving calcaneus fracture. Orthopedic Journal of China, 2008, 16(22): 1746-1748.
Mulcahy DM, Mc Cormack D M, Stephens M M. Infra-articular calcaneal fractures: effect of open reduction and internal fixation on the contact characteristics of the subtalar joint. Foot Ankle Int, 1998, 19: 842-848.
Sangeorzan BJ, Ananthakrishnan D, Tencer AF. Contact characteristics of the subtalar joint after a simulated calcaneus fracture. J Orthop Trauma, 1995, 9: 251-258.
Sanders R. Displaced infra-articular fractures of the calcaneus. J Bone Joint Surg (Am ), 2000, 82: 225-250.
Gavlik JM, Rammelt S, Zwipp H. Percutaneous, arthroscopically-assisted osteosynthesis of calcaneus fractures. Arch Orthop Trauma Surg, 2002, 122: 424-428.
Wang Zhenhu, Peng Aqin, Song Chaohui, et a1. Experimental study on stress changes of posterior inferior articular surface after calcaneal fracture. Chinese Journal of Bone and Joint Injury, 2008, 23(7): 555-557.
Rammelt S, Gavlik JM, Barthel S, et al. The value of subtalar arthroscopy in the management of intra-articular calcaneus fractures. Foot Ankle Int, 2002, 23: 906-916.