Top

International Orthopaedics

Published in:

01-07-2011 | Original Paper

Balloon reduction and cement fixation in intra-articular calcaneal fractures: a percutaneous approach to intra-articular calcaneal fractures

Authors: Frederic Jacquot, Arthur Atchabahian

Published in: International Orthopaedics | Issue 7/2011

Abstract

Purpose

The management of calcaneal fractures remains challenging and often controversial. Open reduction and internal fixation with a lateral plate has been established as a standard therapy for displaced articular fractures. However, accurate subtalar joint reduction, while mandatory, is difficult to achieve, requires an extensive lateral approach, and clinical results may not be up to the difficulty of the task.

Methods

We present a treatment using a percutaneous approach and local balloon reduction followed by polymethyl-metacrylate fixation. This technique was used in four patients presenting articular subtalar fractures with displacement.

Results

Reduction was achieved in all cases using a posterior trans-osseous percutaneous approach. Bony fusion with conservation of the subtalar articular reduction was achieved in all cases. We present all cases with a detailed report of outcome.

Conclusions

Clinical outcome after at least three years of follow-up suggests that this technique may be promising and may be used in cases with closed fractures as a primary reduction and fixation tool.

Bajammal S, Tornetta P 3rd, Sanders D, Bhandari M (2005) Displaced intra-articular calcaneal fractures. J Orthop Trauma 19(5):360–364PubMed

Huang PJ, Huang HT, Chen TB, Chen JC, Lin YK, Cheng YM, Lin SY (2002) Open reduction and internal fixation of displaced intra-articular fractures of the calcaneus. J Trauma 52(5):946–950PubMedCrossRef

Bezes H, Massart P, Delvaux D, Fourquet JP, Tazi F (1993) The operative treatment of intraarticular calcaneal fractures. Indications, technique, and results in 257 cases. Clin Orthop Relat Res 290:55–59PubMed

Zwipp H, Rammelt S, Barthel S (2004) Calcaneal fractures—open reduction and internal fixation (ORIF). Injury 35(Suppl 2):SB46–SB54PubMed

Schuberth JM, Cobb MD, Talarico RH (2009) Minimally invasive arthroscopic-assisted reduction with percutaneous fixation in the management of intra-articular calcaneal fractures: a review of 24 cases. J Foot Ankle Surg 48(3):315–322PubMedCrossRef

Weber M, Lehmann O, Sagesser D, Krause F (2008) Limited open reduction and internal fixation of displaced intra-articular fractures of the calcaneum. J Bone Joint Surg Br 90(12):1608–1616PubMedCrossRef

Essex-Lopresti P (1952) The mechanism, reduction technique and results in fractures of the os calcis. Br J Surg 39(157):395–419

Sanders R, Fortin P, DiPasquale T, Walling A (1993) Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res 290:87–95PubMed

Heger L, Wulff K, Seddiqi MS (1985) Computed tomography of calcaneal fractures. AJR Am J Roentgenol 145(1):131–137PubMed

10.

Janzen DL, Connell DG, Munk PL, Buckley RE, Meek RN, Schechter MT (1992) Intraarticular fractures of the calcaneus: value of CT findings in determining prognosis. AJR Am J Roentgenol 158(6):1271–1274PubMed

11.

Koval KJ, Sanders R (1993) The radiologic evaluation of calcaneal fractures. Clin Orthop Relat Res 290:41–46PubMed

12.

Muijs SP, Nieuwenhuijse MJ, Van Erkel AR, Dijkstra PD (2009) Percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures: evaluation after 36 months. J Bone Joint Surg Br 91(3):379–384PubMedCrossRef

13.

Bano A, Pasku D, Karantanas A, Alpantaki K, Souvatzis X, Katonis P (2009) Intra-articular calcaneal fracture: closed reduction and balloon-assisted augmentation with calcium phosphate cement: a case report. Cases J 2:9290. doi:10.1186/1757-1626-2-9290 PubMedCrossRef

14.

Gupta AK, Gluck GS, Parekh SG (2011) Balloon reduction of displaced calcaneus fractures: surgical technique and case series. Foot Ankle Int 32(2):205–210

15.

Sanders R (2000) Displaced intra-articular fractures of the calcaneus. J Bone Joint Surg Am 82(2):225–250PubMed

16.

Rammelt S, Zwipp H (2004) Calcaneus fractures: facts, controversies and recent developments. Injury 35(5):443–461PubMedCrossRef

17.

Buckley R, Tough S, McCormack R, Pate G, Leighton R, Petrie D, Galpin R (2002) Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am 84-A(10):1733–1744PubMed

18.

Court-Brown CM, Schmidt M, Schutte BG (2009) Factors affecting infection after calcaneal fracture fixation. Injury 40(12):1313–1315

19.

Buckley RE, Meek RN (1992) Comparison of open versus closed reduction of intraarticular calcaneal fractures: a matched cohort in workmen. J Orthop Trauma 6(2):216–222PubMedCrossRef

20.

Potter MQ, Nunley JA (2009) Long-term functional outcomes after operative treatment for intra-articular fractures of the calcaneus. J Bone Joint Surg Am 91(8):1854–1860PubMedCrossRef

21.

Rammelt S, Gavlik JM, Zwipp H (2001) Historical and current treatment of calcaneal fractures. J Bone Joint Surg Am 83-A(9):1438, author reply 1439–1440PubMed

22.

Schepers T, Schipper IB, Vogels LM, Ginai AZ, Mulder PG, Heetveld MJ, Patka P (2007) Percutaneous treatment of displaced intra-articular calcaneal fractures. J Orthop Sci 12(1):22–27PubMedCrossRef

23.

Longo UG, Denaro V (2009) Spinal augmentation: what have we learnt? Lancet 373(9679):1947, author reply 1947–1948PubMedCrossRef

24.

Buchbinder R, Osborne RH, Ebeling PR, Wark JD, Mitchell P, Wriedt C, Graves S, Staples MP, Murphy B (2009) A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 361(6):557–568. doi:10.1056/NEJMoa0900429 PubMedCrossRef

25.

Kallmes DF, Comstock BA, Heagerty PJ, Turner JA, Wilson DJ, Diamond TH, Edwards R, Gray LA, Stout L, Owen S, Hollingworth W, Ghdoke B, Annesley-Williams DJ, Ralston SH, Jarvik JG (2009) A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med 361(6):569–579. doi:10.1056/NEJMoa0900563 PubMedCrossRef

26.

Kiyoshige Y, Takagi M, Hamasaki M (1997) Bone-cement fixation for calcaneus fracture—a report on 2 elderly patients. Acta Orthop Scand 68(4):408–409PubMedCrossRef

Title: Balloon reduction and cement fixation in intra-articular calcaneal fractures: a percutaneous approach to intra-articular calcaneal fractures
Authors: Frederic Jacquot
Arthur Atchabahian
Publication date: 01-07-2011
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 7/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1249-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Balloon reduction and cement fixation in intra-articular calcaneal fractures: a percutaneous approach to intra-articular calcaneal fractures

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 7/2011

Vascularised fibular graft for the treatment of congenital pseudarthrosis of the tibia: long-term complications in the donor leg

Posterior-only surgery with strong halo-femoral traction for the treatment of adolescent idiopathic scoliotic curves more than 100°

Advance pre-operative chlorhexidine reduces the incidence of surgical site infections in knee arthroplasty

Mechano growth factor E peptide promotes osteoblasts proliferation and bone-defect healing in rabbits

Reamer-irrigator-aspirator indications and clinical results: a systematic review

Cup loosening after cemented Metasul® total hip replacement: a retrieval analysis