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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

Radiographs (A-D) and clinical pictures (E, F) at the end of the first postoperative year.
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Figure 3: Radiographs (A-D) and clinical pictures (E, F) at the end of the first postoperative year.

Mentions: The uniplaner external fixator on the right lower extremity and the Kirschner wires on the both feet were removed four months after the index surgery due to the radiographic healing of both calcanei. At the sixth month follow-up he was able to walk with full weight bearing on the both lower extremities with assistance of crutches. On the physical examination he had no pain on the both feet with mild pain on the left ankle. Plain radiographs showed left tibial non-union and therefore autogenous corticocancellous bone grafting from iliac crest was applied as a second operation. At the ninth month follow-up plain radiograhs showed complete healing of the tibial nonunion and Ilizarov external fixator was removed (Figure 3A–D).


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)

Radiographs (A-D) and clinical pictures (E, F) at the end of the first postoperative year.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Radiographs (A-D) and clinical pictures (E, F) at the end of the first postoperative year.
Mentions: The uniplaner external fixator on the right lower extremity and the Kirschner wires on the both feet were removed four months after the index surgery due to the radiographic healing of both calcanei. At the sixth month follow-up he was able to walk with full weight bearing on the both lower extremities with assistance of crutches. On the physical examination he had no pain on the both feet with mild pain on the left ankle. Plain radiographs showed left tibial non-union and therefore autogenous corticocancellous bone grafting from iliac crest was applied as a second operation. At the ninth month follow-up plain radiograhs showed complete healing of the tibial nonunion and Ilizarov external fixator was removed (Figure 3A–D).

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