Search Our Scientific Publications & Authors

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. Read More

Emerg Radiol 2019 Apr 8. Epub 2019 Apr 8.

Department of Radiology, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.

Various anatomical variations can be found in the foot and ankle, including sesamoid bones and accessory ossicles. These are usually incidental findings and remain asymptomatic; however, they may cause complications resulting in painful syndromes or degenerative changes secondary to overuse or trauma. They can also lead to fractures or simulate fractures. Read More

Foot Ankle Int 2019 Apr 8:1071100719840812. Epub 2019 Apr 8.

1 Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands.

Background: To date, there is no consensus regarding which postoperative imaging technique should be used after open reduction and internal fixation of an intra-articular calcaneal fracture. The aim of this study was to clarify whether Brodén's view is sufficient as postoperative radiologic examination to assess step-offs and gaps of the posterior facet.

Methods: Six observers estimated the size of step-offs and gaps on Brodén's view in 42 surgically treated intra-articular calcaneal fractures. Read More

Lupus 2019 Apr 4:961203319841434. Epub 2019 Apr 4.

1 Department of Osteology and Biomechanics, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

We report the case of a 64-year-old woman with systemic lupus erythematosus (SLE) and recurrent bilateral stress fractures of the calcaneus due to long-term methotrexate (MTX) use. A detailed skeletal assessment pointed to osteoporomalacia with pronounced trabecular thinning and increased bone resorption. After years of unsuccessful treatment with bisphosphonates, a combined bone-specific denosumab-teriparatide treatment was initiated, and additional belimumab treatment was started to avoid intermittent steroid usage. Read More

Math Biosci Eng 2019 02;16(3):1597-1610

Department of Hand Surgery, Department of Plastic Reconstructive Surgery, Ningbo No. 6 Hospital, Ningbo, 315040, China.

The sinus tarsi approach can be used for a limited exposure of the calcaneal fracture site. The reduction of the posterior articular surface, the shape of the calcaneus, the precise placement of the sustentacular screw (SS), the posterior articular surface screw of the calcaneal (PASS), and the long axis screw of the calcaneal (LAS) are still challenging. To that end, we proposed a minimally invasive technique for the treatment of calcaneal fractures via the sinus tarsi approach in combination with a three-dimensional (3D) printing technique. Read More

J Bone Miner Metab 2019 Mar 27. Epub 2019 Mar 27.

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

The objective of this study was to investigate the incidence of vertebral fractures (VFx) and the value of physical function (PF) and body composition (BC) for predicting VFx in a Japanese population. This study included 307 subjects (113 men, 194 women) at least 40 years of age who were assessed at community health check-ups in 2008 and 2016. PF was assessed by grip strength and by single-leg stance, timed up-and-go, and 30-s chair stand tests, each scored from 0 to 3 for a possible total of 12 points (higher scores reflect lower function). Read More

BMC Musculoskelet Disord 2019 Mar 25;20(1):121. Epub 2019 Mar 25.

Committee on Emergency Medicine, Intensive Care and Trauma Management, (Sektion NIS) of the German Trauma Society (DGU), Cologne, Germany.

Background: Missed or underestimated injuries are one of the central problems in trauma care. Foot injuries can easily be missed because they lay beyond the regularly screened field of a trauma computer tomography scan (CT scan). During primary and secondary survey a careful examination of the extremities often becomes of secondary interest in the severely injured patient. Read More

Int Orthop 2019 Mar 22. Epub 2019 Mar 22.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.

Purpose: Displaced intra-articular calcaneus fractures Sanders type IV(DIACFS IV) can result in an unsatisfactory prognosis and a high complication rate. Our investigation intends to compare the outcomes of DIACFS IV treated by open reduction and internal fixation (ORIF) via sinus tarsi approach (STA) with these via extensile lateral approach (ELA).

Methods: Sixty-nine patients (82 ft) with DIACFS IV who were treated with ORIF (29 in STA group and 40 in ELA group) were retrospectively assessed. Read More

Comput Methods Programs Biomed 2019 Apr 12;171:27-37. Epub 2019 Feb 12.

Institute of Cognitive Neuroscience, National Central University, Jhongli County, Taoyuan City, Taiwan. Electronic address:

Background And Objectives: The calcaneus is the most fracture-prone tarsal bone and injuries to the surrounding tissue are some of the most difficult to treat. Currently there is a lack of consensus on treatment or interpretation of computed tomography (CT) images for calcaneus fractures. This study proposes a novel computer-assisted method for automated classification and detection of fracture locations in calcaneus CT images using a deep learning algorithm. Read More

Clin Med Insights Arthritis Musculoskelet Disord 2019 12;12:1179544119835227. Epub 2019 Mar 12.

Foot and Ankle Unit, Department of Orthopaedics, Centro Hospitalar do Porto, Porto, Portugal.

Bohler angle and the crucial angle of Gissane are used on the evaluation of calcaneus fractures. However, few authors have described the variation of the angles when the calcaneus is growing. In this study, Bohler angle and the crucial angle of Gissane in paediatric population were measured using lateral foot radiographs of 429 patients, from 0 to 16 years of age. Read More

Acta Orthop Belg 2018 Dec;84(4):469-478

Displaced calcaneus fracture often results in severe permanent sequelae and considerably limits the activities of daily living. In this prospective cohort study we present the outcomes of surgical treatment of 137 displaced intra-articular calcaneal fractures, over 8y period. Follow-up data were obtained up to 3 years post-operatively. Read More

ANZ J Surg 2019 Apr 14;89(4):329-333. Epub 2019 Mar 14.

Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Taizhou, China.

Background: The traditional extended lateral approach for calcaneus fractures can provide sufficient exposure for reduction, but complications are frequent. The minimally invasive approach does limited damage to the soft tissue and its complication rate is low, but provides limited surgical exposure for complicated fracture. Thus, an approach that could provide wide exposure with less soft tissue injury is important. Read More

J Orthop Surg Res 2019 Mar 6;14(1):74. Epub 2019 Mar 6.

Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.

Background: The extensile lateral approach (ELA) has been widely used to treat displaced intra-articular calcaneal fractures (DIACFs) and remains the gold standard procedure. Orthopedic surgeons are extremely concerned of the high rate of wound complications. This study intended to report a new surgical technique of the lateral wall osteotomy combined with an embedded biodegradable implant for treating DIACFs and assess clinical and radiological results. Read More

Foot Ankle Int 2019 Mar 6:1071100719830948. Epub 2019 Mar 6.

6 Department of Orthopaedics and Sports Medicine, University of Washington-Harborview Medical Center, WA, USA.

Background:: The plantar fascia attaches to the tuberosity of the calcaneus, which produces a distinct plantar medial avulsion (PMA) fracture fragment in certain calcaneal fractures. We hypothesized that tongue-type fractures, as described by the Essex-Lopresti classification, were more likely to be associated with this PMA fracture than joint depression fractures.

Methods:: A retrospective chart review was performed at 2 distinct Level I trauma centers to identify patients sustaining calcaneal fractures. Read More

Vet Surg 2019 Feb 28. Epub 2019 Feb 28.

Veterinary Medical Center, Michigan State University, East Lansing, Michigan.

Objective: To describe traumatic injuries involving the central tarsal bone (Tc) in nonracing dogs.

Study Design: Retrospective multicenter study.

Animals: Thirty-two client-owned dogs. Read More

In Vivo 2019 Mar-Apr;33(2):489-494

Section Upper Extremity, Foot- and Rheuma Surgery, Trauma Department, Medical School Hanover (MHH), Hannover, Germany

Background/aim: In extensive soft tissue injury, primary internal fracture fixation is not always possible and external fixation for primary immobilization plays an important role. The aim of this study was to compare the accuracy of freehand technique and of a target device for retrograde calcaneotibial fixation in an uninjured bone and an unstable ankle fracture.

Materials And Methods: The calcaneotibial fixation was performed randomly by an experienced surgeon utilizing either a freehand drilling technique or a novel targeting device in four human cadavers before and after producing a bimalleolar ankle fracture. Read More

Clin Podiatr Med Surg 2019 Apr 12;36(2):323-337. Epub 2018 Dec 12.

Plastic Reconstructive and Orthopaedic Surgery, University of Pennsylvania Health System, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, South Pavilion, 1st Floor, Philadelphia, PA 19104, USA.

Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft tissue complications are addressed with methods that commensurate with the degree of injury, ranging from local wound care to free flap reconstruction. Read More

Clin Podiatr Med Surg 2019 Apr 24;36(2):269-277. Epub 2019 Jan 24.

Coastline Foot and Ankle Center, 800 Liberty Street Southeast, Salem, OR 97302, USA.

Fractures of the calcaneus are detrimental injuries, often caused by high-energy trauma. To best restore the functionality of a limb and allow normal ambulation, it is recommended to repair displaced intra-articular calcaneus fractures surgically. This article presents several methods of reduction and repair of the calcaneus. Read More

Clin Podiatr Med Surg 2019 Apr 28;36(2):233-249. Epub 2019 Jan 28.

Department of Orthopedic Surgery, Yeungnam University Medical Center, Hyeonchungno 170, Nam-gu, Daegu, 42415, Republic of Korea. Electronic address:

Subtalar arthroscopy has an important role in enhancing the reduction of the posterior facet in percutaneous and open approaches of displaced intra-articular calcaneal fractures. In the percutaneous approach, arthroscopically assistant percutaneous approach must be selected carefully for mild-to-moderately displaced fractures. In the open approach, there is still little evidence of the utility of subtalar arthroscopy. Read More

Clin Podiatr Med Surg 2019 Apr 24;36(2):225-231. Epub 2019 Jan 24.

Kaiser Permanente Santa Clara and GSAA, 710 Lawrence Expressway, Department 140, Santa Clara, CA 95051, USA.

Displaced intra-articular calcaneal fractures can be treated with open reduction and internal fixation through various methods, including the extensile lateral approach, sinus tarsi approach, percutaneous reduction and fixation, external fixation, and calcaneoplasty. Although the gold standard is the extensile lateral approach, this method has significant wound-healing complications associated with it. Literature shows that the reduction achieved through minimally invasive techniques is equal to that achieved with the extensile lateral approach, while reducing the amount of postoperative complications. Read More

Clin Podiatr Med Surg 2019 Apr 24;36(2):211-224. Epub 2019 Jan 24.

Trauma Unit, Amsterdam UMC, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands. Electronic address:

Treatment of displaced intra-articular calcaneal fractures has changed numerous times in the last decades. Currently, less invasive surgery has reemerged and is increasingly used. The sinus tarsi approach is most commonly used. Read More

Clin Podiatr Med Surg 2019 Apr 24;36(2):185-195. Epub 2019 Jan 24.

Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02139, USA.

When calcaneal fractures occur, the treating physician is faced with many decisions that are required to bring about a good clinical outcome. From a surgical perspective, decisions must be made regarding whether or not fixation is necessary, and if so, what will be used. Implicit in that thought process is planning of the surgical approach. Read More

Clin Podiatr Med Surg 2019 Apr 12;36(2):163-171. Epub 2018 Dec 12.

Orthopaedic Center, Gundersen Health System, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Performing a thorough clinical evaluation following an acute displaced intra-articular calcaneal fracture is paramount for optimal surgical timing and long-term outcome. Initial survey must entail a comprehensive evaluation to rule out concurrent injuries. Focused lower extremity examination must involve a complete neurovascular and soft tissue evaluation to identify such conditions as compartment syndrome or compromised integument, which necessitate urgent intervention. Read More

Eur J Radiol 2019 Mar 18;112:222-228. Epub 2019 Jan 18.

Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.

Objectives: The aim of this study was to determine the correlation of the intra-operative fluoroscopic 2D- and 3D-images compared with a postoperative CT-scan, in terms of quality of reduction and fixation of calcaneal fractures.

Methods: Patients requiring open reduction and internal fixation (ORIF) of a calcaneal fracture were recruited as part of the EF3X-trial. During surgery, intra-operative images of fluoroscopic 2D- and 3D-imaging were obtained to assess the quality of the reduction and implant position. Read More

Injury 2019 Feb 8. Epub 2019 Feb 8.

Department of Orthopedic Oncology, Azienda Ospedaliera Universitaria Careggi, Largo P. Palagi 1, 50134 Firenze, Italy. Electronic address:

Introduction: Displaced intra-articular calcaneal fractures (DIACF) represent a challenging and controversial issue in traumatology. Conservative treatment has been recommended to avoid surgical problems and complications. The final result, however, is often a painful malunioun of the calcaneus with peroneal impingement. Read More

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

Foot Ankle Surg 2019 02 26;25(1):94. Epub 2018 Nov 26.

Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London. SE1 9RT. United Kingdom.

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 Surg Orthop Adv Fall 2018;27(3):178-186

Department of Orthopaedic Surgery - Oncology Section, Duke University Medical Center, Durham, North Carolina.

Mirels scoring system for determining prophylactic stabilization need of skeletal metastases includes a limited number of variables and does not differentiate between procedure types. This study sought to identify additional variables associated with surgical failure, radiographic disease progression, and patient survival. A retrospective review was performed of patients from January 2004 to 2014 who underwent surgical treatment of skeletal metastases of the extremities, were >18 years of age, and had adequate radiographic surveillance. Read More

J Orthop Res 2019 Feb 17;37(2):483-489. Epub 2018 Dec 17.

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 2019 Feb 12;50(2):558-563. 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

Injury 2018 Nov;49 Suppl 3:S94-S99

School of Medicine, University of Bari "Aldo Moro"- AOU Policlinico Consorziale - Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic &Trauma Unit, Bari, Italy.

Introduction: The treatment of intra-articular calcaneal fractures is still complex and controversial. Although open reduction and internal fixation (ORIF) is favored by many authors, several percutaneous techniques have been introduced to reduce complications and to obtain satisfactory clinical and radiological results. Among these percutaneous treatments, balloon reduction and bone graft augmentation is gaining an increasing popularity. Read More