Calcaneal tuberosity fractures through prior Schantz pin sites in patients with diabetic neuropathy.

Foot (Edinb) 2019 Mar 2;39:96-99. Epub 2019 Mar 2.

Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, United States.

Schantz pin placement in the calcaneal tuberosity is a common procedure known to be complicated by pin site infections and nerve injuries. Fractures through Schantz pin sites has been reported mostly in diaphyseal bone. This case series highlights three patients with type 2 diabetes mellitus and diabetic neuropathy who were fixed in an external fixator frame with a pin through the calcaneal tuberosity. At an average of 13 weeks, the patients presented with fracture through the pin site at the calcaneal tuberosity. One patient was treated with open reduction and internal fixation of the calcaneus and two patients were treated nonoperatively. These cases suggest that placement of calcaneal pins in patients with diabetic neuropathy harbors risk of iatrogenic fracture, a complication that has not been reported in the literature.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.foot.2019.02.011DOI Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
March 2019
5 Reads

Publication Analysis

Top Keywords

calcaneal tuberosity
16
schantz pin
12
diabetic neuropathy
12
pin site
8
pin sites
8
patients diabetic
8
placement calcaneal
8
pin
6
calcaneal
5
patients
5
external fixator
4
nonoperatively cases
4
diabetes mellitus
4
mellitus diabetic
4
fixed external
4
neuropathy fixed
4
cases placement
4
patients type
4
series highlights
4
case series
4

Similar Publications