Advances in Surgical Sciences

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Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block

Received: Aug. 01, 2018    Accepted: Aug. 20, 2018    Published: Sep. 17, 2018
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Abstract

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.

DOI 10.11648/j.ass.20180602.11
Published in Advances in Surgical Sciences ( Volume 6, Issue 2, December 2018 )
Page(s) 45-49
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intra-Articular Calcaneal Fracture, Die-Punch Bone Blocks, Internal Fixation

References
[1] 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.
[2] Zhang Tieliang, Yu Jianhua. Intra-articular fracture of calcaneus. Chinese Journal of Orthopaedics, 2000, (2): 117-120.
[3] Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res, 1987, (216): 109-119.
[4] 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.
[5] 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.
[6] 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.
[7] 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.
[8] Sangeorzan BJ, Ananthakrishnan D, Tencer AF. Contact characteristics of the subtalar joint after a simulated calcaneus fracture. J Orthop Trauma, 1995, 9: 251-258.
[9] Sanders R. Displaced infra-articular fractures of the calcaneus. J Bone Joint Surg (Am ), 2000, 82: 225-250.
[10] Gavlik JM, Rammelt S, Zwipp H. Percutaneous, arthroscopically-assisted osteosynthesis of calcaneus fractures. Arch Orthop Trauma Surg, 2002, 122: 424-428.
[11] 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.
[12] 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.
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  • APA Style

    Chunguang Sun, Qijia Zhou, Cheng Li, Qirong Dong. (2018). Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block. Advances in Surgical Sciences, 6(2), 45-49. https://doi.org/10.11648/j.ass.20180602.11

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    ACS Style

    Chunguang Sun; Qijia Zhou; Cheng Li; Qirong Dong. Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block. Adv. Surg. Sci. 2018, 6(2), 45-49. doi: 10.11648/j.ass.20180602.11

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    AMA Style

    Chunguang Sun, Qijia Zhou, Cheng Li, Qirong Dong. Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block. Adv Surg Sci. 2018;6(2):45-49. doi: 10.11648/j.ass.20180602.11

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  • @article{10.11648/j.ass.20180602.11,
      author = {Chunguang Sun and Qijia Zhou and Cheng Li and Qirong Dong},
      title = {Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block},
      journal = {Advances in Surgical Sciences},
      volume = {6},
      number = {2},
      pages = {45-49},
      doi = {10.11648/j.ass.20180602.11},
      url = {https://doi.org/10.11648/j.ass.20180602.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ass.20180602.11},
      abstract = {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 (ppp>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.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Mid-Term Efficacy of Surgical Treatment for Calcaneal Fracture Combined with Die-Punch Bone Block
    AU  - Chunguang Sun
    AU  - Qijia Zhou
    AU  - Cheng Li
    AU  - Qirong Dong
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    DO  - 10.11648/j.ass.20180602.11
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 45
    EP  - 49
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20180602.11
    AB  - 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 (ppp>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.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Orthopedic, Funing County People's Hospital of Jiangsu, Funing, China

  • Department of Orthopedic, Funing County People's Hospital of Jiangsu, Funing, China

  • Department of Orthopedic, Funing County People's Hospital of Jiangsu, Funing, China

  • Department of Orthopaedic, the Second Affiliated Hospital of Soochow University, Suzhou, China

  • Section