Tag Archive for: Classification

Fractures of the Calcaneus- An Illustrated Review

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Vol 9 | Issue 1 | January-June 2023 | page: 05-17 | Balvinder Rana, Anand Pillai

DOI: https://doi.org/10.13107/ti.2023.v09.i01.032

Authors: Balvinder Rana [1], Anand Pillai [2]

[1] Department of Trauma and Orthopaedics, Wythenshawe Hospital, Manchester University Foundation Trust, Manchester, UK.

[2] Department of Trauma and Orthopaedics, Foot & Ankle Division, Wythenshawe Hospital, Manchester University Foundation Trust, Manchester, UK.

Address of Correspondence

Dr. Balvinder Rana,

Speciality Doctor, Department of Trauma and Orthopaedics, Wythenshawe Hospital, Manchester University Foundation Trust, Manchester, UK.

Email: anklefootsurgery@gmail.com

Abstract

Calcaneal fractures are rare injuries accounting for less than 2% of all fractures. There is considerable published literature on calcaneal fractures, but the optimum management has still not been defined clearly because of different fracture patterns, patient characteristics affecting outcome, soft tissue complications associated with surgical treatment and complex anatomy of the calcaneus making accurate surgical reconstruction difficult. New techniques such as minimally invasive surgery (MIS) have shown promise. In this illustrated pictorial review, we summarise the surgical anatomy, pathophysiology, treatment strategies including tips and tricks on surgical management and discuss the current literature for this complex injury.

Keywords: Calcaneus, fracture, calcaneal anatomy, calcaneal fracture management, outcome of calcaneal fracture, classification

References

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15. Griffin D, Parsons N, Shaw E, Kulikov Y, Hutchinson C, Thorogood M, et al. Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: Randomised controlled trial. BMJ 2014;349:g4483–g4483. https://doi.org/10.1136/bmj.g4483

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How to Cite this article: Rana B, Pillai A | Fractures of the Calcaneus- An Illustrated Review | January-June 2023; 9(1): 05-17 | https://doi.org/10.13107/ti.2023.v09.i01.32

 

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New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

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Vol 3 | Issue 2 | Sep – Dec 2017 | page: 31-34 | Aditya K. Agrawal

Author: Aditya K. Agrawal [1].

[1]Dept of Orthopaedics, Dhiraj Hospital, SBKS MIRC, SumandeepVidyapeeth, Waghodia, Vadodara, Gujarat, 391760 India.

Address of Correspondence
Dr. Aditya K. Agrawal
Dept of Orthopaedics, Dhiraj Hospital,
SBKS MIRC, SumandeepVidyapeeth, Waghodia,
Vadodara, Gujarat, 391760 India.
Email: adityagrawal83@gmail.com

Abstract

Purpose: A classification is considered as good classification if it describes the particularregion of bone, type of fracture, personality of fracture in either planes and helps in selectionof implant and most importantly easy to understand by an orthopedic surgeon. Classification becomes more complicated when there is double region involvement with comminution,or distal fracture is in shaft leading to segmental fracture.
Materials and Methods: There are numerous classification systems available in the presentliterature for peri-trochanteric femur fractures. These include Evan’s, Tronzo, and Boyd andGriffin, OTA classifications for peri-trochanteric region, Seinsheimer’s and Fieldingclassifications for sub-trochanteric region. AO classification which is widely acceptedcritically defines peri-trochanteric, head and neck region of fracture femur.
Results: Drawbacks of existing classifications are that they are based on fractureconfiguration in sagittal plane only except Seinsheimer’s classification which is based oncoronal plane fracture morphology. Furthermore, double regions/ multiple regions arenot properly defined in these classification systems. If the proper classification system is not followed, it will lead to the selection of wrong implants which thereby leads to complications.
Discussion: Advantages of our new classification system are that it is easy to understand; allregions of peri-trochanteric femur are covered, and in the selection of proper implant.Hence, intra-operative complications can be avoided with proper pre-operative planning.
Conclusion: Thus, we hope that our new comprehensive classification of peri-trochantericfemur may help to solve the mysteries surrounding the understanding, classifying, and treating the fractures of peri-trochanteric femur.
Keywords: Classification, comprehensive, femur, fracture, peri-trochanteric.

References

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How to Cite this article:  Agrawal A. K. New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures. Trauma International Sep-Dec 2017;3(2):31-34.

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