Ipsilateral talar and calcaneal fractures: A retrospective review of complications and sequelae

被引:14
作者
Aminian, Arash [2 ]
Howe, Christopher R. [1 ]
Sangeorzan, Bruce J. [1 ]
Benirschke, Stephen K. [1 ]
Nork, Sean E. [1 ]
Barei, -David P. [1 ]
机构
[1] Univ Washington, Harborview Med Ctr, Dept Orthopaed Surg, Seattle, WA 98104 USA
[2] St Jude Heritage Med Grp, Fullerton, CA 92835 USA
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2009年 / 40卷 / 02期
关键词
Ipsilateral; Talus; Calcaneal; Fractures; Complications; PROSPECTIVE RANDOMIZED-TRIAL; OPEN REDUCTION; OPERATIVE TREATMENT; INTERNAL-FIXATION; INTRAARTICULAR FRACTURES; NONOPERATIVE TREATMENT; WOUND COMPLICATIONS; NECK FRACTURES; TALUS; OUTCOMES;
D O I
10.1016/j.injury.2008.07.016
中图分类号
R4 [临床医学];
学科分类号
100218 [急诊医学];
摘要
Background: Ipsilateral talar and calcaneal fractures represent a rare combination injury that has only recently been reported in the literature with small case series. Objective: To identify the commonly observed fracture patterns, complications, and outcomes of a consecutive series of patients with ipsilateral talar and calcaneal fractures. Methods: Forty-five cases of ipsilateral talus and calcanal fractures were identified from an orthopaedic trauma registry at a University-based, level I trauma center for retrospective review. Main outcome measurements: Post-operative complications, the need for secondary surgery, and the visual analogus pain score. Results: Five patients were treated with an early below knee amputation (BKA). Five patients were treated with a primary subtalar arthrodesis. Twenty-eight of the 35 patients who did not undergo early BKA or primary subtalar arthrodesis developed subtalar arthritis. Five patients had deep wound complications. Four patients had talar body collapse from avascular necrosis. There were 13 open fractures of which 8 resulted in an eventual BKA. The mean visual analogus pain score for the patient population was 4.0. Conclusion: The combination of ipsilateral talar and calcaneal fractures represents a severe injury pattern that is associated with significant morbidity. Subtalar arthritis was a common finding regardless of treatment. Open fractures frequently resulted in a below knee amputation. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:139 / 145
页数:7
相关论文
共 29 条
[1]
Wound-healing risk factors after open reduction and internal fixation of calcaneal fractures [J].
Abidi, NA ;
Dhawan, S ;
Gruen, GS ;
Vogt, MT ;
Conti, SF .
FOOT & ANKLE INTERNATIONAL, 1998, 19 (12) :856-861
[2]
Wound complications following operative fixation of calcaneal fractures [J].
Al-Mudhaffar, M ;
Prasad, CVR ;
Mofidi, A .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2000, 31 (06) :461-464
[3]
Bucholz RW., 2005, Rockwood and Green's fractures in adults, V6t
[4]
Operative compared with nonoperative treatment of displacedintra-articular calcaneal fractures - A prospective, randomized, controlled multicenter trial [J].
Buckley, R ;
Tough, S ;
McCormack, R ;
Pate, G ;
Leighton, R ;
Petrie, D ;
Galpin, R .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (10) :1733-1744
[5]
CANALE ST, 1990, ORTHOPEDICS, V13, P1105
[6]
Open reduction and internal fixation of type II intra-articular calcaneus fractures [J].
Crosby, LA ;
Fitzgibbons, TC .
FOOT & ANKLE INTERNATIONAL, 1996, 17 (05) :253-258
[7]
Varus malalignment of the talar neck - Its effect on the position of the foot and on subtalar motion [J].
Daniels, TR ;
Smith, JW ;
Ross, TI .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1996, 78A (10) :1559-1567
[8]
Fractures of the talus: Experience of two level 1 trauma centers [J].
Elgafy, H ;
Ebraheim, NA ;
Tile, M ;
Stephen, D ;
Kase, J .
FOOT & ANKLE INTERNATIONAL, 2000, 21 (12) :1023-1029
[9]
THE MECHANISM, REDUCTION TECHNIQUE, AND RESULTS IN FRACTURES OF THE OS CALCIS [J].
ESSEXLOPRESTI, P .
BRITISH JOURNAL OF SURGERY, 1952, 39 (157) :395-419
[10]
Early wound complications of operative treatment of calcaneus fractures: Analysis of 190 fractures [J].
Folk, JW ;
Starr, AJ ;
Early, JS .
JOURNAL OF ORTHOPAEDIC TRAUMA, 1999, 13 (05) :369-372