$calcaneus fracture$

$calcaneus fracture$

The optimal intervention of calcaneus fracture currently remains controversial.

$calcaneus fracture$

Soft tissue involvement is related to this high-energy injury, and intra-articular fracture might present the worst outcomes ( 4, 5). It remains difficult to manage surgically due to the irregular anatomical shape similar to cuboid, varied thickness of the surrounding soft tissues, and poor blood supply, resulting in burden of living quality and health care. Accepted for publication Mar 16, 2021.Ĭalcaneus fracture is a common clinical event that accounts for about 0.4–2% of all fractures and approximately 60–75% of tarsal bone related fractures ( 1- 3). Keywords: Epidemiology clinical features calcaneus osteomyelitis open reduction and internal fixation retrospective studies The presence of severe calcaneus fracture, Sanders type III (48.03%) and type IV (42.52%), were the common fracture types in this population group. A fall from height was the most frequent trauma mechanism. Drainage tubes were applied in 30 participants (23.62%) while rubber drainage strips in 5 participants (3.94%).Ĭonclusions: Young males dominated the calcaneus osteomyelitis following traumatic calcaneus fracture cohort in this study. A total of 27 participants (21.26%) bled after tourniquet deflation. A locking plate was used in 114 cases (89.76) while anatomical plate in 13 cases (10.24%). Autologous bone grafting was observed in 6 cases (4.72%), allograft bone grafting in 11 cases (8.67%), and OsteoSet grafting in 7 cases (5.51%). The mean tourniquet pressure was 432.3 mmHg (350–550 mmHg).

$calcaneus fracture$

Forty-four participants (34.65%) received the conventional scalpel and 83 participants (65.35%) the electric scalpel during soft tissue stripping intraoperatively. The mean operating time was 102.1 min (75–135 min). The mean time to surgery was 4.7 days (4–9 days), and 123 participants (96.85%) were treated within 7 days. There were 25 participants with the co-morbidity of type 2 diabetes mellitus (19.69%), 7 with hypertension (5.51%), and 1 case each of psoriasis and sicca syndrome (0.8%). According to the Sanders classification, 12 cases were type II (9.45%), 61 cases were type III (48.03%), and 54 cases were type IV (42.52%). A total of 51 cases (40.16%) were left-side fractures, and 76 (59.84%) were right-sided. Falling from height was the main trauma mechanism (79.53%), followed by traffic accident (14.17%), and jumping (6.3%). Results: The majority of cases (n=127) were male (4.5 times more than female gender), at a ratio of 4.47:1. We analyzed participant demographics including gender, age, body mass index (BMI), trauma mechanism, Sanders classification, co-morbidity, time between initial injury and surgery, operating time, soft tissue stripping tools, tourniquet pressure, bone grafting option, internal fixation option, presence of bleeding after tourniquet deflation, and drainage option. Methods: We retrospectively analyzed 127 cases who were diagnosed with calcaneal osteomyelitis following ORIF via the extended lateral “L-shaped” approach after closed calcaneus fracture between March 2016 and August 2019 in our hospital. Background: To analyze the epidemiology and features of calcaneus osteomyelitis following open reduction and internal fixation (ORIF) after closed calcaneus fracture.

$calcaneus fracture$

Calcaneus fracture