Search Our Scientific Publications & Authors

J Orthop Sports Phys Ther 2019 Feb 13:1-32. Epub 2019 Feb 13.

University of Utah, Salt Lake City, UT.

Study Design: Multi-site double blind randomized clinical trial.

Background: Patients with surgical fixation of ankle and/or hindfoot fractures often experience decreased range of motion and loss of function following surgery and post-surgical immobilization, yet there is minimal evidence to guide care for these patients.

Objectives: To assess if manual therapy produces short-term improvements in range of motion, muscle stiffness, gait, and balance for patients undergoing operative fixation of an ankle and/or hindfoot fracture. Read More

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.

Calcaneus is the most common site of hindfoot fracture, frequently caused by fall from height or high energy trauma. The therapeutic strategy ranged from non-operative to ORIF (Open Reduction Internal Fixation). Indications for percutaneous fixation include soft tissue damage or relative contraindications to open surgery. Read More

Injury 2019 Jan 23. Epub 2019 Jan 23.

University of Turin, Clinica Ortopedica I, CTO Hospital Via Zuretti 29, 10126, Turin, Italy.

Background: Resorbable osteosynthesis has been used in orthopaedic surgery for many years. However, indications for the use of these implants in the surgery of traumatic lesions of the foot have not yet been clearly defined. The aim of this study is to analyse reported experiences with the bioabsorbable devices and to suggest guidelines for their use in foot trauma surgery METHODS: We conducted a literature review to identify known indications for the use of absorbable devices in traumatic lesions of the foot. Read More

Bone Joint J 2019 Feb;101-B(2):140-146

Addenbrooke's Hospital, Cambridge, UK.

Aims: This paper documents the epidemiology of adults (aged more than 18 years) with a calcaneal fracture who have been admitted to hospital in England since 2000. Secondary aims were to document whether publication of the United Kingdom Heel Fracture Trial (UK HeFT) influenced the proportion of patients admitted to hospital with a calcaneal fracture who underwent surgical treatment, and to determine whether there has been any recent change in the surgical technique used for these injuries.

Patients And Methods: In England, the Hospital Episode Statistics (HES) data are recorded annually. Read More

J Foot Ankle Surg 2019 Jan 23. Epub 2019 Jan 23.

Specialist Orthopaedics, Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.

Displaced intra-articular calcaneal fractures can be difficult to treat. Open surgical techniques are associated with wound complications, whereas nonoperative management leads to arthrosis. In the present study, 23 displaced intra-articular calcaneal fractures in 19 patients were treated with closed reduction and percutaneous Kirschner wire fixation. Read More

J Foot Ankle Surg 2019 Jan 23. Epub 2019 Jan 23.

Attending Physician, Geisinger Health System, Danville, PA.

Pathologic fractures of the calcaneus secondary to osteomyelitis (OM) have rarely been reported in the literature. This case series describes 5 patients who were treated in our institution for chronic OM of the calcaneus and subsequently suffered a fracture of the involved calcaneus in the absence of trauma. All 5 patients had a history of insulin-dependent diabetes mellitus and were treated with a range of surgical treatments including open reduction and internal fixation, external fixation, and excision of the fracture fragment. Read More

Clin Orthop Relat Res 2019 Feb;477(2):467-471

J. H. Jiménez-Almonte, J. D. King, A. Aneja, E. Moghadamian, Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA T. D. Luo, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.

J Orthop Trauma 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopaedics and Rehabilitation, the University of Iowa, Iowa City, Iowa.

Objectives: To quantify fracture severity for a series of displaced intra-articular calcaneal fractures (DIACFs) and correlate it with Sanders classification, post traumatic osteoarthritis (PTOA), and patient outcomes.

Design: Retrospective review and fracture severity analysis SETTING:: The University of Iowa Hospitals and Clinics is a level 1 trauma center affiliated with the University of Iowa in Iowa City, Iowa.

Patients/participants: Thirty-six patients with 48 DIACFs were selected from 153 patients previously treated. Read More

Stapp Car Crash J 2018 Nov;62:489-513

Survivability/Lethality Analysis Directorate (SLAD).

During Operation Iraqi Freedom and Operation Enduring Freedom, improvised explosive devices were used strategically and with increasing frequency. To effectively design countermeasures for this environment, the Department of Defense identified the need for an under-body blast-specific Warrior Injury Assessment Manikin (WIAMan). To help with this design, information on Warfighter injuries in mounted under-body blast attacks was obtained from the Joint Trauma Analysis and Prevention of Injury in Combat program through their Request for Information interface. Read More

Foot Ankle Surg 2018 Dec 19. Epub 2018 Dec 19.

Bone and Joint Diseases Research Center, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:

Background: Sanders classification, based on the number of displaced fractured fragments of posterior facet, can predict the prognosis of calcaneal intraarticular fractures. The aim of the study was assessing not only intraobserver reproducibility and interobserver reliability of Sanders classification but also the agreement between preoperative reported types based on computed tomography (CT) scan and direct observation during the surgery.

Methods: In this cross-sectional study, preoperative CT scans of 100 patients with intra-articular calcaneal fracture operated by a single surgeon were studied by two orthopedic and trauma surgeons (A & B), twice with an interval of three weeks. Read More

J Foot Ankle Surg 2019 Jan;58(1):127-136

Consultant, Trauma and Orthopaedics, Manchester University NHS Foundation Trust, Manchester, UK.

Nonoperative management may result in calcaneal malunion with consequences of pain, deformity, and functional limitation. The aim of this review was to proffer an evidence-based scientific account of the effectiveness of contemporary surgical procedures in the management of malunited calcaneal fractures after initial conservative management. This systematic review included studies that evaluated the surgical procedures in the management of calcaneal malunion and systematically searched studies published between January 2005 and June 2016. Read More

Case Rep Orthop 2018 11;2018:6207024. Epub 2018 Nov 11.

Klinik für Unfall und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.

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. Read More

Acta Ortop Mex 2018 May-Jun;32(3):172-181

Universidad de La Laguna. Tenerife. España.

Calcaneal fractures are the most common tarsal fractures and their treatment is still debated today. We intend in this update to highlight the points of controversy and clarify the consensus, especially in the treatment of intra-articular fractures, as well as to describe the management of major complications. Read More

J Orthop Res 2018 Nov 28. Epub 2018 Nov 28.

Department of Orthopaedic Surgery, Kitakyushu General Hospital, 1-1 Higashijounomachi Kokurakita-ku Kitakyushu, Fukuoka, 802-8517, Japan.

The various lines of calcaneal fractures indicate their complex nature and make their treatment challenging. There is still much debate regarding the position and direction of these fracture lines, even for the primary fracture line. The computed tomography-based finite element model is known to provide accurate predictions of fracture loads and virtual fracture locations for the femur and distal radius. Read More

Foot Ankle Surg 2018 Nov 5. Epub 2018 Nov 5.

Trauma unit, Academic Medical Center, Amsterdam, The Netherlands. Electronic address:

Introduction: Open fractures of the calcaneus are rare. They are mostly caused by high-energy trauma. There are several treatment options for calcaneal fractures. Read More

Med Sci Monit 2018 Nov 22;24:8417-8421. Epub 2018 Nov 22.

Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland).

BACKGROUND With the complexity of calcaneal fracture (CF) increasing, its treatment has changed to include inserting the screw used to secure the facies articular posterior into the sustentaculum tail (ST). Some research progress has been made in this area, but there has been little in-depth research on the anatomical morphology of the sustentaculum tail, which is necessary for clinical surgery, and more information about Chinese anatomic characteristics and improved surgical techniques for CF are needed. MATERIAL AND METHODS This anatomical study, based on a three-dimensional (3D) computed tomographic (CT) reconstruction technique, included 287 dry calcaneus, consisting of 144 left and 143 right calcaneus. Read More

Acta Orthop Belg 2018 Jun;84(2):235-241

To report the clinical efficacy of open reduction and internal fixation (ORIF) assisted by medial distraction for intra-articular calcaneus fractures. From September 2010 to November 2013, 151 patients with intra-articular calcaneus fractures were treated at our department by ORIF. They were 95 men and 56 women, 18 to 69 years of age. Read More

J Orthop Surg Res 2018 Nov 20;13(1):293. Epub 2018 Nov 20.

Basic Medical College, Hebei Medical University, Shijiazhuang, Hebei, 050000, People's Republic of China.

Background: Occurrence of calcaneus fractures is on the up trend. Owing to its unique anatomical morphology and limited soft-tissue envelope, management of calcaneus fractures is a challenge to the orthopaedic surgeon, and surgical site infection (SSI) is one of the serious postoperative complications. In order to decrease the incidence of wound breakdown and improve clinical outcomes, it is necessary to understand which factors were associated with SSI. Read More

Injury 2018 Nov 12. Epub 2018 Nov 12.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, Australia.

Introduction: Multitrauma patients suffering hindfoot fractures, including calcaneal and talar fractures, often result in poor outcomes. However, less is known about the outcomes following midfoot fracture in the mutitrauma population. This study aims to describe the epidemiology of midfoot fractures in multitrauma patients and to compare the outcomes of midfoot and hindfoot fractures in this population. Read More

Heart 2018 Nov 15. Epub 2018 Nov 15.

Departments of Cardiology and Cardiac Surgery, University Hospital of Wales, Cardiff, UK.

A 29-year-old man crashed at high speed into another vehicle at traffic lights. He was able to get out of his van but then collapsed after running a few metres. On arrival in the emergency department he was conscious, with a pulse of 140 beats/min and blood pressure of 110/32 mm Hg. Read More

Oper Orthop Traumatol 2018 Nov 9. Epub 2018 Nov 9.

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Germany.

Objective: A minimally invasive technique to prevent soft tissue problems using a calcaneal nail (Calcanail®, FH Orthopedics, Heimsbrunn, France) for calcaneal fractures or in subtalar joint arthrodesis is described.

Indications: Displaced extra-articular calcaneal fractures involving the tuberosity fragment and in displaced intra-articular calcaneal fractures with impression and/or displacement of the subtalar joint surface. Subtalar joint arthrodesis for posttraumatic subtalar osteoarthritis. Read More

Med Sci Monit 2018 Nov 3;24:7862-7868. Epub 2018 Nov 3.

Department of Pediatric Orthopedics, Wuhan Fourth Hospital (Puai Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland).

BACKGROUND Displaced intra-articular calcaneal fractures (DIACF) are a serious injury and are clinically considered to be an important source of disability. This study investigated therapeutic effects of internal fixation with Kirschner wire and bone grafting via limited tarsal sinus incision in pediatric DIACF. MATERIAL AND METHODS This retrospective study included pediatric DIACF patients admitted to our department from June 2010 to February 2014. Read More

Mil Med 2018 Oct 27. Epub 2018 Oct 27.

Operational Readiness Directorate, Naval Health Research Center, 140 Sylvester Road, San Diego, CA.

Introduction: Despite medical interventions to preserve viability and functionality of injured limb(s) among combat-injured service members, delayed amputations may occur. The goal of this study was to determine whether specific lower extremity (LE) injuries were associated with delayed amputations.

Methods: The Expeditionary Medical Encounter Database was queried for combat-related LE injuries between 2003 and 2015. Read More

J Feline Med Surg 2018 Oct 22:1098612X18800837. Epub 2018 Oct 22.

2 Langford Veterinary Services, University of Bristol, UK.

Objectives: The aim of this study was to document the incidence of preceding and subsequent fractures to the patellar fractures in cats with patellar fractures and dental anomaly syndrome.

Methods: Records of cats with patellar fracture and dental anomaly syndrome were retrieved from the combined databases at the University of Bristol, UK, and Exclusively Cats Veterinary Hospital, USA. A request was made to complete a questionnaire to obtain long-term follow-up of these cats with respect to their current status and fractures to other bones; radiographs and histories were requested and were reviewed for treatment of ongoing fractures and outcome. Read More

Int J Behav Med 2018 Dec;25(6):698-705

Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.

Background: Nearly 2.8 million people are hospitalized in the USA annually for traumatic injuries, which include orthopedic and internal organ injuries. Early post-injury pain is predictive of poor outcomes, including inability to eventually return to work, and long-term psychological distress. Read More

Int Orthop 2018 Oct 10. Epub 2018 Oct 10.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Purpose: To investigate if the stability of minimally invasive screw osteosynthesis of displaced intra-articular calcaneal fractures (DIACF) can be effectively increased by an innovative approach to screw tip augmentation.

Methods: In eight-paired human cadaver hindfoot specimens, DIACF of Sanders type IIB were treated with either standard screw osteosynthesis or with bone cement augmentation of the screw tips in the main fragments. The instrumented specimens were subjected to a cyclic loading protocol (9000 cycles, with stepwise increasing loads, 100-1000 N). Read More

Foot Ankle Int 2018 Oct 5:1071100718803333. Epub 2018 Oct 5.

2 Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Daejeon, South Korea.

Background: We compared the radiographic results and clinical outcomes of patients operated on via the extended sinus tarsi approach (ESTA) and the extended lateral approach (ELA) for treatment of displaced intraarticular calcaneal fractures.

Methods: We retrospectively studied the utility of the ELA (46 patients, 52 feet) and the ESTA (56 patients, 64 feet) in patients operated on between January 2009 and March 2015. We evaluated pre- and postoperative x-rays and computed tomography (CT) data. Read More

J Orthop Trauma 2018 Dec;32(12):593-600

University Center for Orthopaedics and Traumatology, University Hospital Dresden Carl Gustav Carus, Dresden, Germany.

Objectives: To correlate functional deficits after surgical treatment of displaced intraarticular calcaneal fractures (DIACFs) as measured through dynamic pedobarography with clinical and radiographic long-term results.

Design: Retrospective single-center study.

Setting: Level 1 trauma center. Read More

Int J Surg 2018 Nov 28;59:36-47. Epub 2018 Sep 28.

Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325000, China. Electronic address:

Purpose: This meta-analysis aimed to investigate the effectiveness of operative treatment of intra-articular calcaneal fractures with bone grafts versus without bone grafts.

Methods: The electronic literature database of Pubmed, Embase, and Cochrane library were searched in April 2018. The data on Böhler angle, Gissane angle, calcaneal width, calcaneal height, AOFAS hindfoot scores and complications (including wound edge necrosis, wound infection, deep infection, hematoma and sural nerve injury) were extracted. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(1):57-61

Technická univerzita v Liberci.

PURPOSE OF THE STUDY Currently, operative treatment is preferred in dislocated calcaneal fractures. Most frequently used is the extended lateral approach, the disadvantage of which is the risk of early complications. Therefore, less invasive operative techniques are sought that would reduce the risk of such complications. Read More

J Foot Ankle Surg 2018 Nov - Dec;57(6):1172-1180. Epub 2018 Sep 22.

Associate Professor, Department of Orthopaedics and Traumatology, Dr Lutfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey.

Calcaneal fractures are complex injuries and have historically had a poor prognosis that results in substantial disability. However, no studies have been performed that analyze both the radiographic and plantar pressure changes after treatment of intraarticular calcaneus fracture. Patients with an intrarticular calcaneus fracture treated at our institution during the study period were identified from computerized hospital records. Read More

J Orthop Surg Res 2018 Sep 24;13(1):243. Epub 2018 Sep 24.

Orthopaedics Department, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, Australia.

Background: Operative management of displaced, intra-articular calcaneal fractures is associated with improved functional outcomes but associated with frequent complications due to poor soft tissue healing. The use of a minimally invasive sinus tarsi approach to the fixation of these fractures may be associated with a lower rate of complications and therefore provide superior outcomes without the associated morbidity of operative intervention.

Methods: We reviewed four prospective and seven retrospective trials that compared the outcomes from the operative fixation of displaced intra-articular calcaneal fractures via either an extensile lateral approach or minimally invasive fixation via a sinus tarsi approach. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1297-1301

Department of Orthopedics/Sports Medicine Center, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing, 400038,

Objective: To investigate the effectiveness of tibio-talo-calcaneal arthrodesis with full thread headless compression screws via combined minimal incisions.

Methods: Between January 2012 and December 2016, 36 patients (36 feet) with ankle diseases underwent tibio-talo-calcaneal arthrodesis with parallel double thread headless compression screws via minimal anterior and lateral oblique incisions. There were 14 males and 22 females with an average age of 53. Read More

J Foot Ankle Surg 2018 Nov - Dec;57(6):1120-1124. Epub 2018 Sep 8.

Trauma Surgeon, Department of Surgery and Traumatology, Catharina Hospital, Eindhoven, the Netherlands.

The aim of this study was to evaluate the results of open reduction and internal fixation through the extended lateral approach (ELA) in displaced intra-articular calcaneal fractures and to determine whether this approach should remain part of standard therapy. This retrospective cohort study included 60 patients with 64 displaced intra-articular calcaneal fractures who underwent surgical treatment through the ELA. Outcome measures were the visual analog scale foot and ankle (VAS FA), the American Orthopedic Foot and Ankle Society (AOFAS) score, surgical site infections (SSIs), and reoperations. Read More

Clin Orthop Surg 2018 Sep 22;10(3):374-379. Epub 2018 Aug 22.

Department of Orthopaedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Background: After calcaneal fracture surgery, a short leg splint and cast are typically applied. However, these restrict joint exercises, which is inconvenient for patients. In addition, there is a risk of complications, such as pressure ulcers or nerve paralysis with a short leg cast. Read More

J Pediatr Orthop B 2018 Nov;27(6):556-562

Pediatric Orthopedic, Wuhan PuAi Hospital, Tongji Medical College, Huazhong Science and Technology University, Wuhan, China.

The aim of this study was to analyze the management of displaced intra-articular calcaneal fractures in children at our pediatric orthopedic and to determine the results following open reduction via minimally invasive sinus tarsi approach and fixation with Kirschner wires (K-wires). Overall, 25 available cases of calcaneal fractures in children with mean age of 9.8 years were treated by open reduction from January 2010 to December 2015. Read More

Malays Orthop J 2018 Jul;12(2):59-61

Department of Orthopaedics, Gateshead Health NHS Foundation Trust, Gateshead, United Kingdom.

The incidence of insufficiency fractures is approximately 1% in rheumatoid arthritis patients. The predisposing factors are chronic inflammation, skeletal deformities, biomechanical stresses and osteoporosis. The medications used in the treatment of rheumatoid arthritis such as Glucocorticosteroids and Methotrexate also contribute to the development of osteoporosis and insufficiency fractures. Read More

Malays Orthop J 2018 Jul;12(2):47-51

Department of Orthopaedics, Dr Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.

An 18-year old male patient, with a history of paragliding accident, sustaining a coronal shear fracture of the body of the talus, an anterior process fracture of the calcaneus extending to the calcaneocuboid joint and a nondisplaced navicular body fracture at the right foot and a displaced fracture of the navicular body accompanied with posteromedial process fracture of the talus at the left side was referred to our emergency clinic. For the right foot, the coronal plane fracture of the talar body was anatomically reduced and fixed with screws. For the left foot, screw fixation was performed through the lateral aspect to fix the large posteromedial fragment. Read More

Zhongguo Gu Shang 2018 Jul;31(7):604-607

Department of Orthopaedics, Beijing Yanqing County Hospital(Peking University Third Hospital Yanqing Hospital), Beijing 102100, China;

Objective: To investigate clinical effects of calcaneal fracture with closed reduction and minimally invasive plate fixation assisted with bidirectional distractor distraction.

Methods: From September 2015 to October 2016, 11 male patients(13 feet) with calcaneal fractures treated with bidirectional distractor distraction assisted with minimally invasive plate fixation were retrospectively studied. They were aged from 24 to 57 years old with an average of 36. Read More

Zhongguo Gu Shang 2018 Jul;31(7):599-603

Tongzhou Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 101100, China.

Objective: To investigate clinical effects of improved anatomical locking plate internal fixation through tarsal sinus incision in treating Sanders III and IV calcaneal fractures.

Methods: From February 2015 to October 2016, 35 patients with Sanders III and IV calcaneal fractures treated by improved anatomical locking plate internal fixation through tarsal sinus incision were collected, including 22 males and 13 females aged from 22 to 68 years old with an average of (42.3±12. Read More

Zhongguo Gu Shang 2018 Jul;31(7):594-598

Department of Orthopaedics, the Third Affiliated Hospital of Sun Yat-sen University-Lingnan Hospital, Guangzhou 510000, Guangdong, China.

Objective: To compare clinical results of Sanders II-IV fractures of calcaneus treated by self-setting calcium phosphate cement and allograft with locking reconstruction bone plate internal fixation.

Methods: From March 2012 to December 2015, 48 patients with Sanders II-IV fractures of calcaneus were treated by open reduction and internal fixation through L-shape incision, bone grafting were performed on reserved bone defect of calcaneal fracture. The patients were divided into self-setting calcium phosphate cement and allograft group according to different materials. Read More

Zhongguo Gu Shang 2018 Jul;31(7):591-593

Foot and Ankle Section, Department of Orthopedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China;

J Orthop Surg (Hong Kong) 2018 May-Aug;26(3):2309499018792742

1 Department of Orthopaedics and Traumatology, Okmeydani Training and Research Hospital, Istanbul, Turkey.

Objective: Intra-articular displaced calcaneal fractures are common fractures and are often treated with surgical interventions. Sinüs tarsi approach provides secure access to lateral wall and joint facets. The aim of the study is to compare cannulated screw (CS) fixation and mini-plate (MP) fixation via sinus tarsi approach with Sanders types 2 and 3 fracture of calcaneus. Read More

Foot Ankle Clin 2018 Sep;23(3):353-374

Department of Orthopedic Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea.

Traumatic injury to the subtalar joint occurs during subtalar dislocations, talar and calcaneal fractures, and fracture-dislocations. After closed reduction of subtalar dislocations, peripheral talar or calcaneal fractures need to be ruled out by computed tomography scanning. In fractures and fracture-dislocations of the talus and calcaneus involving the subtalar joint, anatomic reconstruction of joint congruity is essential for functional rehabilitation. Read More

Medicine (Baltimore) 2018 Aug;97(32):e11818

Department of Orthopedics, Drum Tower Hospital Clinical College of Nanjing Medical University.

Sufficient drainage is very important for preventing wound complications after open reduction and internal fixation (ORIF) of calcaneal fractures. However, the drainage amount varies among patients. The objective of this study was to identify factors associated with increased postoperative drainage after ORIF of calcaneal fractures. Read More

Emerg Radiol 2019 Feb 30;26(1):67-74. Epub 2018 Jul 30.

Keck School of Medicine, University of Southern California, Los Angeles, USA.

Intra-articular tongue-type fractures may develop skin breakdown and often require urgent surgical reduction and fixation. Recognition of the imaging findings, accurate interpretation, and timely communication may prevent devastating clinical outcomes including soft tissue coverage procedures and amputation. This article reviews the anatomy of the calcaneus, as well as the clinical presentation and imaging findings of intra-articular tongue-type fractures. Read More

J Man Manip Ther 2018 Jul 12;26(3):147-156. Epub 2018 Feb 12.

Department of Physical Therapy, College of Health, University of Utah, Salt Lake City, UT, USA.

Study Design: Randomized clinical trial.

Background: Patients with fractures to the talus and calcaneus report decreased functional outcomes and develop long-term functional limitations. Although physical therapy is typically not initiated until six weeks after fixation, there's little research on the optimal time to initiate a formal physical therapy program. Read More

Rev Bras Ortop 2018 Jul-Aug;53(4):472-476. Epub 2018 Jun 13.

Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective: To analyze the epidemiology and characteristics of patients with calcaneus fractures.

Methods: This is a retrospective revision of patients with calcaneus fractures hospitalized in the Institute of Orthopedics and Traumatology of this institution between 2006 and 2010. Data such as age, gender, laterality, trauma mechanism, type of fracture, associated injuries, compound fractures, and time from injury to surgery were analyzed. Read More

Int J Med Sci 2018 14;15(10):999-1004. Epub 2018 Jun 14.

Professor, PhD. Faculty of Health Sciences. University of Granada (Spain).

Due to the increased prevalence of osteoporosis and direct health care cost of osteoporosis-related fractures, there is a growing interest in identifying genetic markers associated with osteoporosis phenotypes in order to develop genetic screening strategies. We aimed to analyze the possible associations between calcaneal Quantitative ultrasound (QUS), a valuable screening tool for assessing bone status in clinical practice, and rs7524102, rs6426749) (rs2016266) and rs9533090) genes. A cross-sectional study was conducted on 550 healthy individuals of Caucasian ancestry (381 females and 169 males, median age 20. Read More

Curr Rev Musculoskelet Med 2018 Sep;11(3):485-494

Hennepin County Medical Center, Minneapolis, MN, USA.

Purpose Of Review: To review literature published in the last 3 years related to minimally invasive approaches to calcaneal fracture fixation.

Recent Findings: Numerous randomized control trials, cohort studies, and meta-analyses have been done in the last 3 years comparing surgical treatment of calcaneus fractures. These studies indicate minimally invasive procedures decrease wound complication rates and achieve similar radiographic and clinical outcomes to open reduction internal fixation. Read More