Open Fractures of the Calcaneus: A Review of Treatment and Outcome

  title={Open Fractures of the Calcaneus: A Review of Treatment and Outcome},
  author={Gregory K Berry and David G. Stevens and Hans Kreder and Michael D McKee and Emil H. Schemitsch and David J. G. Stephen},
  journal={Journal of Orthopaedic Trauma},
Objectives The aim of this study was to evaluate the functional and clinical outcome of patients with open calcaneus fractures and to determine what factors were associated with these outcomes. Design Retrospective review of 2 level 1 prospective databases. Setting/Patients/Participants All patients admitted with an open calcaneal fracture to 2 level 1 trauma units between January 1, 1987 and April 1, 1996 were identified. Data regarding demographics, injury characteristics, and treatment and… 
Long-term outcomes of 1,730 calcaneal fractures: systematic review of the literature.
The findings from the present review support current clinical practice that displaced calcaneal fractures are treated surgically from 1 level I evidence study, 1 level II, and multiple studies with less than level II evidence, with open reduction and internal fixation as the method of choice.
Clinical efficacy and prognosis factors of open calcaneal fracture: a retrospective study.
Open calcaneal fractures have a high propensity for soft-tissue complications no matter which fixation method was chose and there was no significant difference between patients who had been treated with different fixations in complication rates.
A new perspective on management of open calcaneus fractures
An algorithm is proposed for the management of open calcaneus fractures, although treatment largely depends on the physical status of the patient, type of the fracture, localisation of the open wound and the surgeon’s choice.
Managing the open calcaneal fracture: A systematic review.
Treatment of Select Open Calcaneus Fractures with Reduction and Internal Fixation: An Intermediate-Term Review
Aggressive treatment of select open calcaneal fractures with delayed ORIF produced satisfactory functional results and most patients were able to return to gainful employment.
Combined Ipsilateral Fractures of Talus and Calcaneus
Extraarticular calcaneal fractures are more common in this injury pattern, while there was no preference for either talar neck or talar body fractures, while operation with anatomic open reduction and internal fixation may result in favorable clinical outcome.
Management of calcaneal fractures: a case series
A retrospective recall of the six patients seen with calcaneal fractures that were treated in the authors' hospital between 2010 and 2018, they were mainly multiply injured and the advanced trauma life support (ATLS) protocol helped to delineate these fractures, the use of modern-day operative and non-operative methods of management and rehabilitation were employed.
Complications Associated with Open Calcaneus Fractures
Utilizing a standardized protocol, open calcaneus fractures were found to have a lower complication rate than has been previously reported.
Open Calcaneus Fractures and Associated Injuries.
Five patients with an open calcaneus fracture eventually underwent a below-the-knee amputation and the management of these injuries should include intravenous antibiotics, tetanus prophylaxis, and urgent debridement and irrigation.
[Calcaneal fractures treated by open reduction and internal fixation with a locking compression plate (LCP). A prospective study. part I: basic analysis of the group].
The basic epidemiological data, mechanism of injury, type of fracture, essential data on surgery, days of hospital stay and the number of complications were evaluated to evaluate functional outcomes of patients with calcaneal fractures treated by open reduction from an extensile lateral approach and LCP osteosynthesis.


Follow-up evaluation of open intra-articular fractures of the calcaneus
An aggressive operative treatment of local complications, including arthrodesis or amputation, is recommended for workmen’s injuries with open intra-articular calcaneal fractures.
Calcaneal Fractures in the Industrial Patient
A retrospective review was performed on industrial patients who sustained calcaneal fractures within the State of Idaho during the years 1992 to 1994, and these patients were insured by the Idaho
The Functional Outcome of Displaced Intra-articular Calcaneal Fractures: A Comparison between Isolated Cases and Polytrauma Patients
It appears that foot trauma is usually ignored and should be treated without delay as for other system injuries in polytrauma patients.
Extensive intraarticular fractures of the foot. Surgical management of calcaneal fractures.
Using an extensile lateral approach, rigid internal fixation, and early motion, more than 100 calcaneal fractures have been treated at the authors' institution between 1985 and 1989, and preliminary results demonstrate lower morbidity and improved outcome.
Operative Treatment in 120 Displaced Intraarticular Calcaneal Fractures Results Using a Prognostic Computed Tomography Scan Classification
Despite an improved outcome for Type II and III fractures with increasing surgical experience, the results of operative intervention in Type IV fractures were no better, even after four years, because the number of articular fragments increase.
Operative vs. Nonoperative Treatment of Intra-Articular Fractures of the Calcaneus: A Prospective Randomized Trial
This study is the first prospective, randomized trial to demonstrate the superior results of current operative treatment with early mobilization compared with nonoperative treatment with displaced, intra-articular calcaneus fractures.
Osteosynthesis of Displaced Intraarticular Fractures of the Calcaneus Results in 123 Cases
The operative treatment of intraarticular calcaneal fractures has three principal aims: restoration of height, length, and width of the calcaneus, reconstruction of the subtalar and calcaneocuboid
Results of operative treatment for intra-articular fractures of the calcaneus.
It is believed that a majority of comminuted intra-articular fractures of the calcaneus profit from open reduction and internal fixation and that more reliable functional results are achieved than with conservative therapy.