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Successful treatment of bilateral open calcaneal fractures with concomitant lower extremity injuries: A case report.

Güven M, Ozkan NK, Cakar M, Yavuz U, Akman B, Kadıoğlu B - Cases J (2008)

Bottom Line: Open calcaneal fractures are high morbidity injuries and the risk of complications depends on the concomitant injuries, on the size and the position of the traumatic wound.He was able to walk with full weight bearing without any assistance at the end of the first postoperative year.Early aggressive debridement and irrigation followed by fixation with percutaneous Kirschner wires and external fixator can supply bony alignment in open comminuted calcaneal fractures associated with concomitant lower extremity injuries and should be considered for the healthy and active patients before primary arthrodesis.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Hospital of University of Abant Izzet Baysal, Department of Orthopaedics and Traumatology, Bolu, Turkey. maguven2000@gmail.com.

ABSTRACT
Open calcaneal fractures are high morbidity injuries and the risk of complications depends on the concomitant injuries, on the size and the position of the traumatic wound. A 53-year-old male patient with bilateral open calcaneal fractures and associated concomitant lower extremity injuries such as subtalar dislocation, talonavicular dislocation and open distal tibial metaphyseal fracture was immediately operated by percutaneous Kirschner wire fixation combined with external fixators. He was able to walk with full weight bearing without any assistance at the end of the first postoperative year. Early aggressive debridement and irrigation followed by fixation with percutaneous Kirschner wires and external fixator can supply bony alignment in open comminuted calcaneal fractures associated with concomitant lower extremity injuries and should be considered for the healthy and active patients before primary arthrodesis.

No MeSH data available.


Related in: MedlinePlus

Early postoperative anteroposterior and lateral radiographs of both feet.
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Figure 2: Early postoperative anteroposterior and lateral radiographs of both feet.

Mentions: He was taken to the operating room in the same day. Under general anesthesia, his left shoulder dislocation was reduced closely. Debridement combined with irrigation with at least 10 liters of normal saline solution for both lower extremities were repeated. Under fluoroscopic control, left distal comminuted tibial fracture was reduced and a pre-constructed Ilizarov fixator that consisted of three 140 mm circular rings was mounted on the tibia. Percutaneous fixation with two 2,5 mm Kirschner wires was applied to the left calcaneal fracture from the calcaneal tuberosity to provide as far as possible the entirety of the posterior articular surface of the calcaneus (Figure 2C and 2D).


Successful treatment of bilateral open calcaneal fractures with concomitant lower extremity injuries: A case report.

Güven M, Ozkan NK, Cakar M, Yavuz U, Akman B, Kadıoğlu B - Cases J (2008)

Early postoperative anteroposterior and lateral radiographs of both feet.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2572042&req=5

Figure 2: Early postoperative anteroposterior and lateral radiographs of both feet.
Mentions: He was taken to the operating room in the same day. Under general anesthesia, his left shoulder dislocation was reduced closely. Debridement combined with irrigation with at least 10 liters of normal saline solution for both lower extremities were repeated. Under fluoroscopic control, left distal comminuted tibial fracture was reduced and a pre-constructed Ilizarov fixator that consisted of three 140 mm circular rings was mounted on the tibia. Percutaneous fixation with two 2,5 mm Kirschner wires was applied to the left calcaneal fracture from the calcaneal tuberosity to provide as far as possible the entirety of the posterior articular surface of the calcaneus (Figure 2C and 2D).

Bottom Line: Open calcaneal fractures are high morbidity injuries and the risk of complications depends on the concomitant injuries, on the size and the position of the traumatic wound.He was able to walk with full weight bearing without any assistance at the end of the first postoperative year.Early aggressive debridement and irrigation followed by fixation with percutaneous Kirschner wires and external fixator can supply bony alignment in open comminuted calcaneal fractures associated with concomitant lower extremity injuries and should be considered for the healthy and active patients before primary arthrodesis.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Hospital of University of Abant Izzet Baysal, Department of Orthopaedics and Traumatology, Bolu, Turkey. maguven2000@gmail.com.

ABSTRACT
Open calcaneal fractures are high morbidity injuries and the risk of complications depends on the concomitant injuries, on the size and the position of the traumatic wound. A 53-year-old male patient with bilateral open calcaneal fractures and associated concomitant lower extremity injuries such as subtalar dislocation, talonavicular dislocation and open distal tibial metaphyseal fracture was immediately operated by percutaneous Kirschner wire fixation combined with external fixators. He was able to walk with full weight bearing without any assistance at the end of the first postoperative year. Early aggressive debridement and irrigation followed by fixation with percutaneous Kirschner wires and external fixator can supply bony alignment in open comminuted calcaneal fractures associated with concomitant lower extremity injuries and should be considered for the healthy and active patients before primary arthrodesis.

No MeSH data available.


Related in: MedlinePlus