Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures
المؤلفون المشاركون
de Cesar Netto, Cesar
Giordano, Vincenzo
Koch, Hilton Augusto
Godoy-Santos, Alexandre Leme
de Souza, Felipe Serrão
Rammelt, Stefan
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-11
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Avulsion fractures of the calcaneal tuberosity represent a rare injury pattern that is caused by a powerful tension force from the Achilles tendon and is usually seen following minor trauma, especially in elderly patients.
The objective of this study is to describe a surgical technique using cerclage wiring through cannulated screws in the treatment of extra- and intra-articular avulsion fractures of the calcaneal tuberosity and to present our results in a small patient’s cohort.
Through a 5.0 cm longitudinal skin incision over the posterolateral aspect of the calcaneus, after adequate debridement of the fracture fragments and while keeping the ankle in plantarflexion, the calcaneal tuberosity is anatomically reduced with the help of a periarticular reduction clamp and an accessory plantar longitudinal approach.
Provisionally fixation is performed with K-wires.
Definitive fixation is achieved with two parallel partially threaded 7.0 cannulated screws, which are positioned from the superior and posterior aspect of the tuberosity to the inferior and anterior aspect of the plantar surface of the calcaneus, and 1.5 mm cerclage wires that are pulled epiperiosteally to the plantar aspect of the calcaneus to avoid damage to local soft tissues.
Alternatively, for smaller fracture fragments, two 3.5 mm partially threaded cannulated screws and 1.25 mm cerclage wires can be used.
We also report the results of the procedure in a small cohort of four patients.
All fractures healed in an anatomic position.
There was no failure of fixation, loss of reduction, or need for secondary surgery, including hardware removal.
At final follow-up, all patients had regained full plantar flexion range of motion and strength, with no gait or weight-bearing restrictions.
In conclusion, the combination of cerclage wire and large diameter cannulated screws represents a promising option in the treatment of avulsion fractures of the calcaneal tuberosity, demonstrating good functional and radiographic results in our cohort of patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Giordano, Vincenzo& Godoy-Santos, Alexandre Leme& de Souza, Felipe Serrão& Koch, Hilton Augusto& de Cesar Netto, Cesar& Rammelt, Stefan. 2018. Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures. Case Reports in Orthopedics،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1147771
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Giordano, Vincenzo…[et al.]. Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures. Case Reports in Orthopedics No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1147771
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Giordano, Vincenzo& Godoy-Santos, Alexandre Leme& de Souza, Felipe Serrão& Koch, Hilton Augusto& de Cesar Netto, Cesar& Rammelt, Stefan. Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures. Case Reports in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1147771
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147771
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر