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Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep -Dec 2017 | page: 28-30 | Atul A Kharat, Sandeep R Biraris, Pramod P Chikhalikar, Sheran Ali, G Krishna Naresh Goud Author: Atul A Kharat [1], Sandeep R Biraris [2], Pramod P Chikhalikar [3], Sheran Ali [1], G Krishna Naresh Goud [2]. [1]Department of Orthopaedics, Pad. Dr D […]

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October 17, 2017/in Uncategorized

Vol 3 | Issue 1 | May – June 2017 | page:41-42 | Neeraj Bijlani, Ashok Shyam Author: Neeraj Bijlani [1], Ashok Shyam [2] [1] OrthoTech Clinic and Sai Baba Hospital, Mumbai, India [2] Indian Orthopaedic Research Group, Thane & Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India. Address of Correspondence Dr.Neeraj Bijlani OrthoTech Clinic, […]

Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

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October 17, 2017/in Uncategorized

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Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep -Dec 2017 | page: 28-30 | Atul A Kharat, Sandeep R Biraris, Pramod P Chikhalikar, Sheran Ali, G Krishna Naresh Goud

Author: Atul A Kharat [1], Sandeep R Biraris [2], Pramod P Chikhalikar [3], Sheran Ali [1], G Krishna Naresh Goud [2].

[1]Department of Orthopaedics, Pad. Dr D Y Patil Medical College & Hospital, Nerul, Navi Mumbai.
[2]Department of Orthopaedics, Mumbai Port Trust Hospital, Wadala (E), Mumbai.
[3]Department of Orthopaedics, Pad. Dr D Y Patil Medical College, Pune.

Address of Correspondence
Dr. Sandeep R Biraris,
Department of Orthopaedics, Mumbai Port Trust Hospital, Wadala (E), Mumbai, Maharashtra-400037.
Email: drsandeeprb@gmail.com

Learning Points for this Article: This articles states about various treatment modalities about management of the calcaneum fractures, it shows that non-displaced fractures can be treated conservatively and also Bohler’s and Gissane’s angles should be maintained post-operatively to have a good functional outcome.

Abstract

Background: Calcaneum fractures account for approximately 2% of all fractures, with displaced intra-articular fractures comprising 60-75% of these injuries of which 10% have associated spine fractures and 26% are associated with other extremity injuries. Several authors have reported that patients may be totally incapacitated for up to 3 years and partially impaired for up to 5 years post injury, Although modern surgical techniques have improved the outcome, controversy still exists regarding classification, treatment, operative technique, and post-operative management.
Materials and Methods: 28 out of 31 cases were analyzed prospectively and retrospectively from July 2011 to August 2013 after local ethical and scientific clearance. Three patients had lost to follow-up. All patients with calcaneum fractures above age of 18 with either simple or open injuries were included in the study, excluding pediatric and complex injuries. All patients were clinically evaluated and Bohler’s, Gissane’s angles were calculated preoperatively. All patients were treated with one of the modalities, which include conservative, Steinmann pinning, and Calcaneum plate fixation. All patients were followed up in outpatient basis fortnightly for 3 months and on 6th month and 1 year respectively, to check signs of union of fracture, subtalar movements, and complications if any. After radiological evaluation, functional outcome assessment was done using American Orthopaedic Foot and Ankle Society
Results: Mean age was 35.1 with range 20-52 years, male to female ratio of 9:1. 85% were due to high-velocity trauma. The most common type of injury was tongue type. Preoperative mean Bohler’s and Gissane’s angles which were about 14.87 and 121.5 degrees respectively, the improved angles postoperatively were 25.68 and 104.37 degrees. One patient had heel pain, one patient had residual edema, one patient developed subtalar and ankle stiffness, there was one case of tendocalcaneus weakness, one with broadening of heel, and one case of wound infection.
Conclusion: Undisplaced or minimally displaced calcaneum fractures are best-treated conservatively with cast immobilization for 6 weeks. Essex-Lopresti technique of reduction was superior technique for displaced fractures and achievement of Bohler’s and Gissane’s angle to the after reduction was judgemental for optimal functional outcome.
Keywords: Calcaneum, Essex-Lopresti, functional outcome.

References

1. Bucholz RW, Beaty JH, Rockwood CA, Green DP. Rockwood and Greens Fractures in Adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott, Williams & Wilkins; 2010. p. 2133.
2. Egol KA, Koval KJ, Zuckerman JD. Handbook of Fracture’s. 41th ed. Philadelphia, PA: Lippicot Williams and Wilkins; 2010. p. 507-519.
3. Tomesen T, Biert J, Frölke JP. Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation. J Bone Joint Surg Am 2011;93(10):920-928.
4. Canale ST, Beaty JH. Campbell’s Operative Orthopedics. Philadelphia, PA: Mosby/Elsevier; 2008. p. 4833-4850.
5. Pillai A, Basappa P, Ehrendorfer S. Modified Essex-Lopresti/Westheus reduction for displaced intra-articular fractures of the calcaneus. Description of surgical technique and early outcomes. Acta Orthop Belg 2007;73(1):83-87.
6. Silva PS, Simões B, Pessole ML, Richard L. Evolution of intra-articular fractures deviated from the calcaneus with surgical treatment. Acta Ortop Bras 2006;14(1):35-39.
7. Meraj A, Zahid M, Ahmad S. Management of intraarticular calcaneal fractures by minimally invasive sinus tarsi approach-early results. Malays Orthop J 2012;6(1):13-17.
8. Yip-Kan Y, Yuen-Fong H. Percutaneous fixation of displaced calcaneal fracture. J Orthop Trauma Rehabil 2011; 15(1):5-9.
9. Stulik J, Stehlik J, Rysavy M, Wozniak A. Minimally-invasive treatment of intra-articular fractures of the Calcaneum. J Bone Joint Surg Br 2006;88(12):1634-1641.
10. El-Khalifa T, El-Bagali M, Yousif W, Hashem F. Limited open reduction and percutaneous T screw fixation of displaced intra-articular fracture of calcaneus: Review of 48 fractures. Bahrain Med Bull 2011; 33(2):97-102.

How to Cite this article: Kharat AA, Biraris SR, Chikhalikar PP, Ali S, Goud GKN. Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction. Trauma International Sep-Dec 2017;3(2):28-30.

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October 17, 2017/in Uncategorized

Vol 3 | Issue 1 | May – June 2017 | page:41-42 | Neeraj Bijlani, Ashok Shyam

Author: Neeraj Bijlani [1], Ashok Shyam [2]

[1] OrthoTech Clinic and Sai Baba Hospital, Mumbai, India
[2] Indian Orthopaedic Research Group, Thane & Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.

Address of Correspondence
Dr.Neeraj Bijlani
OrthoTech Clinic, 405, Shubham Atlanta, RC Marg, Chembur East, Mumbai 400071.
Email: drbijlani@gmail.com

Abstract

Mobile apps have been an integral part of our lives since the App Store was launched in 2009. Now after the Mobile Apps Revolution, Medical Apps have also been an integral part of our Lives. To begin with this series we present to you an app which makes Review of Literature, Reading Articles and Abstracts on the go and Following topics, Journals and Specialities very easy at the tap of a finger.

Introduction:
The iPhone App Store was launched in July 2008 and was followed by the Google Play store in 2012. The above ones are the most popular mobile operating sys-tem in the world till date. The mobile apps have changed our lives and the way we com-municate with each other and go about doing things. So is the world of Medical and Orthopaedic Apps which have been on the forefront since last few years.
Here we present you a series of review of few Medical Apps which we regularly use and make a difference in our lives and the way we practice Orthopaedics and increase productivity.

Review:
Read by QxMD is a free app available to download from the iPhone App Store and Google Play Store and can also be used as a Web App from the Windows Platform and Computer.
It is like Twitter for Medical Literature. As soon you install the app on your mobile device, you get a screen (Fig. 1) to Sign Up or Login (if you already have an account). After you tap Sign up You are taken to a Personalisation Page (Fig. 2) which is self-explanatory. After you have completed the sign up process fill up very few fields. So in profession I filled up Physician and Speciality – Orthopaedics and Location – India that is where we are from (Fig. 3).
After that there are some other specialities which you can follow so I follow Sports Medicine. Then the next screen takes you to Keywords (which can be words like Rotator Cuff Tears, Distal Radius Fracture, and VTE prophylaxis. Then there are collections which you can follow which could be accumulated articles which someone has made for example I follow Trauma and Elbow. (You can also create your own collection which someone may follow (something like a trending topic on twitter or Facebook). The last important point is Journals to follow- Here multiple journals can be added ; For Example I have added Journal of Bone and Joint Surgery – American Volume, Bone and Joint Journal British , Journal of Shoulder and Elbow Surgery, Arthroscopy and Journal of Paediatric Orthopaedics ( Fig. 4,5). After Clicking on next, we have an option of either filling up a small form with name, email and then we are taken to something called as featured papers which is like the twitter feed or Facebook timeline. (Fig. 6)
It also gives you push notifications about reading for papers and also you can get CME Credits (which we are yet to use) but a feature more useful in USA.

After the registration process you get the following screen options below as shown here (Fig. 7):-Featured papers; My Followed Journals; My Followed Collections; My Followed Keywords; Recently Viewed Papers; Search
My Followed Journals show all the latest articles journal wise and date wise with abstracts. My Followed Collections show the collection of articles (abstracts) which you can read. Here you also have an option of gaining library access in the app (Fig. 8) if you have off campus library access you can enter your library username and password and the app will automatically download the pdf for you if available from your library during you reading from the app. My Followed Keywords will show you relevant articles from the topics which you have been following. Recently Viewed Papers will show you your downloaded papers. Search is also very good where you can either search for papers or topics. Example: Osteoid Osteoma Search gave me very good results.

Salient Features
Things to mention here

PDFS are available easily inside app is you have subscription or Library Access.
Papers are Searchable
Favourite Journals and Topics are easy to follow.
You can always change settings and follow new journals or new topics and un-follow topics and journals which you followed earlier.

Conclusion:
Read by QxMD is one of my essential go to apps for daily reading on my interested Orthopaedic topics as well as helps me in review of literature. It helps me keeping abreast of Latest knowledge by sending me push notifications of trending articles and articles of my favourite journals and keywords. I surely recommend it to start using it now. The best part it is totally free to use and is AD- Free.

How to Cite this article: Bijlani N, Shyam AK. Most Essential Mobile App for Trauma Surgeon – Episode 1 – Review of Mobile app – Read by QxMD. Trauma International Jan – April 2017;3(1):41-42.

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Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

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Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

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Evaluation of Radiological and Functional Outcome of Calcaneum Fractures using Essex-Lopresti Technique of Reduction

Author: Atul A Kharat [1], Sandeep R Biraris [2], Pramod P Chikhalikar [3], Sheran Ali [1], G Krishna Naresh Goud [2].

Abstract

References

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Author: Neeraj Bijlani [1], Ashok Shyam [2]

Abstract

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