Open AccessSurgical complications of intra-articular calcaneal fracture treatment
Author(s) -
Piotr Golec,
Krzysztof A. Tomaszewski,
S. Nowak,
Zbigniew Dudkiewicz
Publication year - 2016
Publication title -
rehabilitacja medyczna
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 7
eISSN - 1896-3250
pISSN - 1427-9622
DOI - 10.5604/01.3001.0009.4808
Subject(s) - calcaneus , medicine , surgery , calcaneal fracture , percutaneous , kirschner wire , fixation (population genetics) , intra articular , internal fixation , osteoarthritis , population , alternative medicine , environmental health , pathology
Introduction: The authors present complications following surgical treatment of intra-articular calcaneus fractures, in regardsto the surgical technique employed, based on their own clinical material.Materials and methods: The techniques analyzed included the Westhues’ technique and its modifi cation with additional bonestabilization by Kirschner wires and the percutaneous stabilization by Rapala. The research material covered the years from1990 to 2012 and consists of 82 operated patients - 68 men (83%) and 14 women (17%). Analyzed calcaneus fractures weredivided using the Essex-Lopresti classifi cation.Results: The authors of the article indicate that the most frequently registered complications of surgical treatment of intra-articularcalcaneus fractures in early observation were thromboembolic complications and local infl ammatory reactions of theskin at the point of incision and placing the stabilizing material. During the long-term follow-up, the post-thrombotic syndromeand algodystrophic disorders were the most common.Conclusions: Factors contributing to the occurrence of the complications registered were fracture morphology, fixation ofbone fragments by an excessive number of stabilizing materials and prolonged immobilization of the operated limb.Cite this article as: Golec P., Tomaszewski K.A., Nowak S., Dudkiewicz Z. Surgical complications of intra-articular calcaneal fracture treatment. Med Rehabil 2016; 20(2): 25-30.