From The Editor’s Desk!!

Vol 4 | Issue 2 | Sep-Dec 2018 | page:1 |  Ashok K. Shyam

doi- 10.13107/ti.2018.v04i02.066


Author: Ashok K. Shyam [1, 2].

[1] Indian Orthopaedic Research Group, Thane, Maharashtra, India.
[2] Sancheti Institute for Orthopaedics & Rehabilitation, Pune, Maharashtra, India.

Address of Correspondence
Dr. Ashok Shyam
Head of Academics, Sancheti Institute for Orthopaedics & Rehabilitation, Pune, Maharashtra, India.
Email: editor.trauma.international@gmail.com


We thank authors for their contribution in the September-December 2018 issue of Trauma International. This issue contains Original Articles on Bimalleolar Fractures with Various Modalities, Triage in Mass Casualty Incidents, Proximal Femoral Nail in Subtrochanteric Femur Fractures, and case reports on Lateral Elbow Dislocation, Rashless and Bilateral Symmetrical Lower Limb Gangrene, Combined
Rupture of Patellar Tendon, Anterior Cruciate Ligament, Medial Collateral ligament, and Lateral Meniscus. We appreciate efforts of the authors and hope for more contribution in the field of orthopaedic literature in the coming years.


How to Cite the article: Shyam AK. From The Editor’s Desk. Trauma International. Sep-Dec 2018;4(2):1.

 


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Fractures of the Calcaneus- An Illustrated Review

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

1. Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot 2009;19:197–200. https://doi.org/10.1016/j.foot.2009.05.001.

2. Leite CBG, Macedo RS, Saito GH, Sakaki MH, Kojima KE, Fernandes TD. Epidemiological study on calcaneus fractures in a tertiary hospital. Rev Bras Ortop (English Ed 2018;53:472–6. https://doi.org/10.1016/j.rboe.2018.05.014.

3. Keener BJ, Sizensky JA. The anatomy of the calcaneus and surrounding structures. Foot Ankle Clin 2005. https://doi.org/10.1016/j.fcl.2005.04.003.

4. Luikx T, Elthokapy M, Gregory L, et al. Calcaneus, Reference article, Radiopaedia.org https://doi.org/10.53347/rID-319.

5. Cahill DR. The anatomy and function of the contents of the human tarsal sinus and canal. Anat Rec 1965;153:1–17. https://doi.org/10.1002/ar.1091530102.

6. Sanders R. Displaced intra-articular fractures of the calcaneus. J Bone Jt Surg – Ser A 2000;82:225–50. https://doi.org/10.2106/00004623-200002000-00009.

7. Essex‐Lopresti P. The mechanism, reduction technique, and results in fractures of the OS calcis. Br J Surg 1952;39:395–419. https://doi.org/10.1002/bjs.18003915704.

8. Lee SM, Huh SW, Chung JW, Kim DW, Kim YJ, Rhee SK. Avulsion fracture of the calcaneal tuberosity: classification and its characteristics. Clin Orthop Surg. 2012 Jun;4(2):134-8. doi: 10.4055/cios.2012.4.2.134. Epub 2012 May 17. PMID: 22662299; PMCID: PMC3360186.

9. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures: Results using a prognostic computed tomography scan classification. Clin. Orthop. Relat. Res., 1993. https://doi.org/10.1097/00003086-199305000-00012.

10. Cotton FJ, Wilson LT. Fractures of the Os Calcis | NEJM n.d. https://www.nejm.org/doi/full/10.1056/NEJM190810291591801

11. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicentre trial. Buckley R, Tough S, McCormack R, Pate G, Leighton R, Petrie D, Galpin R.JBJS Am. 2002 Oct;84-A(10):1733-44.

12. Tufescu T V, Buckley R. Age, gender, work capability, and worker’s compensation in patients with displaced intraarticular calcaneal fractures. J Orthop Trauma 2001;15:275–9. https://doi.org/10.1097/00005131-200105000-00007.

13. Paul M, Peter R, Hoffmeyer P. Fractures of the calcaneum. A review of 70 patients. J Bone Jt Surg – Ser B 2004;86:1142–5. https://doi.org/10.1302/0301-620X.86B8.15219

14. Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicentre trial. Agren PH, Wretenberg P, Sayed-Noor AS. JBJS Am. 2013 Aug 7;95(15):1351-7

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

16. Luo X, Li Q, He S, He S. Operative Versus Nonoperative Treatment for Displaced Intra-Articular Calcaneal Fractures: A Meta-Analysis of Randomized Controlled Trials. J Foot Ankle Surg 2016;55:821–8. https://doi.org/10.1053/j.jfas.2016.01.035.

17. Chen L, Zhang G, Hong J, Lu X, Yuan W. Comparison of Percutaneous Screw Fixation and Calcium Sulfate Cement Grafting Versus Open Treatment of Displaced Intra-Articular Calcaneal Fractures. Foot & Ankle International. 2011;32(10):979-985. doi:10.3113/FAI.2011.0979

18. Stulík, Jiri & Stulik, Jan & Rysavy, Martin & Wozniak, A. (2007). Minimally-invasive treatment of intra-articular fractures of the calcaneum. The Journal of bone and joint surgery. British volume. 88. 1634-41. 10.1302/0301-620X.88B12.17379

19. Magnan B, Bortolazzi R, Marangon A, Marino M, Dall’Oca C, Bartolozzi P. External fixation for displaced intra-articular fractures of the calcaneum. J Bone Joint Surg Br. 2006 Nov;88(11) 1474-1479. doi:10.1302/0301-620x.88b11.17759. PMID: 17075093.

20. Rammelt S, Amlang M, Barthel S, Gavlik JM, Zwipp H. Percutaneous treatment of less severe intraarticular calcaneal fractures. Clin. Orthop. Relat. Res., vol. 468, 2010, p. 983–90. https://doi.org/10.1007/s11999-009-0964-x.

21. Stulik J, Stehlik J, Rysavy M, Wozniak A. Minimally-invasive treatment of intra-articular fractures of the calcaneum. J Bone Jt Surg – Ser B 2006;88:1634–41. https://doi.org/10.1302/0301-620X.88B12.17379

22. Nosewicz TL, Dingemans SA, Backes M, Luitse JSK, Goslings JC, Schepers T. A systematic review and meta-analysis of the sinus tarsi and extended lateral approach in the operative treatment of displaced intra-articular calcaneal fractures. Foot Ankle Surg. 2019 Oct;25(5):580-588. doi: 10.1016/j.fas.2018.08.006. Epub 2018 Aug 28. PMID: 30321924.

23. Majeed H, Barrie J, Munro W, McBride D. Minimally invasive reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular calcaneal fractures: A systematic review of the literature. EFORT Open Rev. 2018 Jul 11;3(7):418-425. doi: 10.1302/2058-5241.3.170043. PMID: 30233817; PMCID: PMC6129959.

24. Heier KA, Infante AF, Walling AK, Sanders RW. Open Fractures of the Calcaneus: Soft-Tissue Injury Determines Outcome. J Bone Jt Surg – Ser A 2003. https://doi.org/10.2106/00004623-200312000-00002.

25, Fractures of the Calcaneus 2nd edition, Mandeep S Dhillon, Jaypee publishers, Chapter : Extensile Lateral approach chapter by Richard Buckley and Balvinder Rana

26. Carr JB. Early wound complications of operative treatment of calcaneus fractures: Analysis of 190 fractures. J Orthop Trauma 1999;13:372. https://doi.org/10.1097/00005131-199906000-00009.

27. Schuberth JM, Cobb MD, Talarico RH. Minimally Invasive Arthroscopic-Assisted Reduction with Percutaneous Fixation in the Management of Intra-Articular Calcaneal Fractures: A Review of 24 Cases. J Foot Ankle Surg 2009;48:315–22. https://doi.org/10.1053/j.jfas.2009.01.002.

28. Hoppenfeld S, DeBoer P, Buckley R. Surgical Exposures in Orthopaedics; The Anatomic Approach. Ch. 12, The ankle and foot. Lippincott Williams & Wilkins. 2009

29. Borrelli J Jr, Lashgari C. Vascularity of the lateral calcaneal flap: a cadaveric injection study. J Orthop Trauma. 1999 Feb; 13(2):73-7.

30. Sirisreetreerux N et al. Location of the vertical limb of Extensile Lateral Calcaneal approach and risk of injury of the calcaneal branch of peroneal artery. Foot Ankle Int. 2019 Feb: 40(2); 224-230.

31. John Y. Kwon, MD et. al. Proximity of the Lateral Calcaneal Artery With a Modified Extensile Lateral Approach Compared to Standard Extensile Approach. Foot & Ankle Int.2016; 38 (3):318-323.

32. Pitts CC, Almaguer A, Wilson JT, Quade JH, Johnson MD. Radiographic and Postoperative Outcomes of Plate Versus Screw Constructs in Open Reduction and Internal Fixation of Calcaneus Fractures via the Sinus Tarsi. Foot Ankle Int. 2019 Aug;40(8):929-935. doi: 10.1177/1071100719848063. Epub 2019 May 14. PMID: 31088171.


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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Our Experience about Two Cases of Surgical Management of Bilateral Clavicle Fractures

Vol 9 | Issue 1 | January-June 2023 | page: 23-25 | Magoire Dingamnodji, Valentin Andjeffa, Daniel Adendingue, Kotiyade Ngamai, Fandebnet Siniki, Naobe Emery, Sayouba Tinto

DOI: https://doi.org/10.13107/ti.2023.v09.i01.031


Authors: Magoire Dingamnodji [1], Valentin Andjeffa [2], Daniel Adendingue [2], Kotiyade Ngamai [1], Fandebnet Siniki [1], Naobe Emery [4], Sayouba Tinto [3]

[1] Renaissance University Hospital Centre of N’djamena, Chad.
[2] National Reference General Hospital of N’djamena, Chad.
[3] Yalgado Ouedraogo University Hospital Centre of Ouagadougou, Burkina, Faso.
[4] Military Training Hospital of N’djamena, Chad.

Address of Correspondence

Dr. Magoire Dingamnodji,
Department of Orthopedic and Traumatological Surgery, Renaissance University Hospital Centre of N’djamena, Chad.
E-mail: odialmagloire1989@gmail.com


Abstract

Bilateral clavicle fractures are rare injuries. Their management is a subject of controversery. Some authors advocate surgical intervention, while others recommend orthopedic treatment. Several surgical implants are used, including anatomical screws, reconstruction plates, Kirschner wires and external fixators. We would like to share our experience with osteosynthesis using one-third tubular plate in bilateral clavicle fractures. This about two patients. At the six-month follow-up, excellent anatomical and functional outcomes were achieved.

Keywords: Bilateral clavicle, Targeted plates, Surgical management.


References

1. Canadian Orthopedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures: A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007; 89:1-10.

2. Delvaque JG, Bégué T, Villain B, Mebtouche N, Aurégan JC. Surgical treatment of midshaft clavicle fractures: A preliminary feasibility study of minimally invasive internal fixation facilitated by peroperative external fixation. Hôpital Antoine Béclère, AP-HP, Université Paris Saclay 2019;8:30-103.

3. Bajuri MY, Maidin S, Rauf A, Baharuddin M, Harjeet S. Functional outcomes of conservatively treated clavicle fractures. Clinics (Sao Paulo). 2011; 66(4): 635-9.

4. Marya KM, Yadav V, Kochar H. Case series, bilateral clavicle fractures. Hong Kong J Orthop Surg. 2002; 6(1): 39-41.

5. Van den Bout HET. Bilateral clavicle fractures: A case report and review of the literature. South Afr Orthop J. 2011; 10(2): 55-66.

6. Woltz S, Duijff JW, Hoogendoorn JM, Rhemrev SJ, Breederveld RS, Schipper IB, Beeres FJ. Reconstruction plates for midshaft clavicular fractures: A retrospective cohort study. Orthop Traumatol Surg. Res 2016;102:25-9.

7. Liu W, Xiao J, Ji F, Xie Y, Hao Y. Intrinsic and extrinsic risk factors for nonunion after nonoperative treatment of midshaft clavicle fractures. Orthop Traumatol Surg Res 2015;101:197-200.

8. Grassi FA, Tajana MS, D’Angelo F. Management of midclavicular fractures: Comparison between nonoperative treatment and open intramedullary fixation in 80 patients. J Trauma. 2001;50:1096-100.

9. Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD, Evidence-Based Orthopaedic Trauma Working Group. Treatment of acute midshaft clavicle fractures: Systematic review of 2144 fractures: On behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma. 2005;19:504-7.

10. Robinson CM, Goudie EB, Murray IR, Jenkins PJ, Ahktar MA, Read EO et al. Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: A multicenter, randomized, controlled trial. J Bone Joint Surg Am. 2013;95:1576-84.

11. Jiang H, Qu W. Operative treatment of clavicle midshaft fractures using a locking compression plate: Comparison between mini-invasive plate osteosynthesis (MIPPO) technique and conventional open reduction. Orthop Traumatol Surg Res. 2012;98:666-71.


How to Cite this article: Dingamnodji M, Andjeffa V, Adendingue D, Ngamai K, Siniki F, Emery N, Tinto S | Our Experience about Two Cases of Surgical Management of Bilateral Clavicle Fractures| January- June 2023; 9(1): 23-25 | https://doi.org/10.13107/ti.2023.v09.i01.34

 


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Fixation of Acromion Fracture by Distal Radius Plate: A Case Report

Vol 9 | Issue 1 | January-June 2023 | page: 26-28 | Mohd Danish, Hemant Gupta, Ravi Kant, Vikas Singh

DOI: https://doi.org/10.13107/ti.2023.v09.i01.35


Authors: Mohd. Danish [1], Hemant Gupta [1], Ravi Kant [1], Vikas Singh [1]

[1] Department of Orthopaedics, Max Super Specialty Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India.

Address of Correspondence

Dr. Mohd Danish,

Department of Orthopaedics, Max Super Specialty Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India.

E-mail: danish.shan@gmail.com


Abstract

Acromion process fractures are as rare to happen and even rare to be treated surgically. Acromion acts as a stabilizer of shoulder joint through a number of ligaments and muscles attached to it. Although most of the acromion fractures are treated conservatively which may either be due to surgeon preference or lack of sufficient training in surgically treating these fractures. Our case is of a 54 years old, Male who presented to us after being referred from other hospital with Type II acromion process fracture who was treated surgically after the fracture was fixed by the unconventional distal end radius plate in place of usually used clavicular or recon plates. The patient yielded excellent Oxford shoulder score in the subsequent follow ups. Although the acromion fractures are not fixed by most of the surgeons and if at all they are fixed they usually use the conventional plates as mentioned for its fixation, but our case shows that even the distal radius plates can be used as a fixation device in such fractures with excellent rehabilitation results and almost no complications.

Keywords: Acromion, Fracture, Plate


References

1. Bartonicek J. Rockwood and Green’s Fractures in Adults, 8th Edition. Vol. 1. Netherlands: Wolters Kluwer; 2015. Scapular fractures; p. 1478.

2. Cole PA, Shafiq B. Master Techniques in Orthopaedic Surgery. Vol. 1. Philadelphia: Lippincott Williams & Wilkins; 2006. Scapula fractures: open reduction internal fixation; pp. 15–36.

3. Scapular fractures. Analysis of 113 cases. Ada JR, Miller ME. https://pubmed.ncbi.nlm.nih.gov/1864036/ Clin Orthop Relat Res. 1991;269:174–180.

4. Fracture of the body, neck, or spine of the scapula. A long-term follow-up study. Nordquist A, Peterson C. https://pubmed.ncbi.nlm.nih.gov/1395237/ Clin Orthop Relat Res. 1992;283:139–144.

5. Pre- and postoperative function after scapula malunion reconstruction: a novel kinematic technique. Ganger EM, Ludwig PM, Wijdecks CA, Cole PA. J Orthop Trauma. 2013 Aug;27(8):e186-91.

6. Fractures of the acromion process: a proposed classification system. Kuhn JE, Blasier RB, Carpenter JE. J Orthop Trauma. 1994;8:6–13.

7. Operative treatment of scapular fractures: a systematic review. Lantry JM, Roberts CS, Giannoudis PV. Injury. 2008;39:271–283.


How to Cite this article: Danish M, Gupta H, Kant R,Singh V | Fixation of Acromion Fracture by Distal Radius Plate – A Case Report | January-June 2023; 9(1): 26-28 | https://doi.org/10.13107/ti.2023.v09.i01.35

 


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Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

Vol 9 | Issue 1 | January-June 2023 | page: 01-04 | Florian Hess, JoEllen Welter, Laurenz Jaberg

DOI: https://doi.org/10.13107/ti.2023.v09.i01.031


Authors: Florian Hess [1], JoEllen Welter [1], Laurenz Jaberg [2]

[1] Department of Orthopaedic Surgery and Traumatology, Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland.

[2] Department of Orthopaedic Surgery, Clinica Ars Medica, Gravesano, Switzerland.

Address of Correspondence

Dr. Florian Hess,

Department of Orthopaedic Surgery and Traumatology Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland.

E-mail: florian.hess@stgag.ch


Abstract

Background: Treatment of massive rotator cuff (RC) tears can result in re-rupture rates up to 94%, and some studies have detected re-ruptures occurring 3.5 years postoperatively. This study aimed to compare long-term clinical outcomes, measured at two time points, after massive RC tears with patch augmentation.

Methods: We performed 58 arthroscopic RC reconstructions augmented with a synthetic polyester patch between 2012 and 2014. 50 patients were available for long-term follow-up one and five years after surgery. We compared clinical outcomes (Constant-Murley score (CS) and subjective shoulder value (SSV)) to assess if the results were sustained over time.

Results: 86% (50/58) of the patients were assessed at the one- and five-year follow-up visits. The median CS one year postoperative reached 84 (interquartile range 76.5-90), and SSV was 95 (IQR 82.5-100). The median CS five years after surgery was 85 (IQR 81.5-91.5) and SSV was 95 (IQR 85-100). The clinical improvement between postoperative years one and five was statistically significant for CS (p=0.0013) and SSV (p<0.0001).

Conclusions: Rotator cuff repair with polyester patch augmentation achieved good clinical outcomes over the long term. Clinical improvement continued over time, with slightly more favorable results measured at the five-year follow-up visits.

Keywords: Massive rotator cuff tears, Augmentation, Patch, Shoulder, Arthroscopy


References

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2. Colvin AC, Egorova N, Harrison AK, Moskowitz A, Flatow EL (2012) National trends in rotator cuff repair. J Bone Joint Surg [Am] 94 (3):227-233.

3. Jain NB, Higgins LD, Losina E, Collins J, Blazar PE, Katz JN (2014) Epidemiology of musculoskeletal upper extremity ambulatory surgery in the United States. BMC Musculoskelet Disord 15:4.

4. Paloneva J, Lepola V, Aarimaa V, Joukainen A, Ylinen J, Mattila VM (2015) Increasing incidence of rotator cuff repairs–A nationwide registry study in Finland. BMC Musculoskelet Disord 16:189.

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6. Davey MS, Hurley ET, Carroll PJ, Galbraith JG, Shannon F, Kaar K, Mullett H (2023) Arthroscopic Rotator Cuff Repair Results in Improved Clinical Outcomes and Low Revision Rates at 10-Year Follow-Up: A Systematic Review. Arthrosc – J Arthrosc Relat Surg 39 (2):452-458.

7. Meyer DC, Wieser K, Farshad M, Gerber C (2012) Retraction of supraspinatus muscle and tendon as predictors of success of rotator cuff repair. Am J Sports Med. 40 (10):2242-2247.

8. Shah NS, Suriel Peguero E, Umeda Y, Crawford ZT, Grawe BM (2022) Long-Term Outcomes of Massive Rotator Cuff Tear Repair: A Systematic Review. HSS J 18 (1):130-137.

9. Smolen D, Haffner N, Mittermayr R, Hess F, Sternberg C, Leuzinger J (2020) Application of a new polyester patch in arthroscopic massive rotator cuff repair-a prospective cohort study. J Shoulder Elbow Surg 29 (1):e11-e21.

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12. Davidson J, Burkhart SS (2010) The geometric classification of rotator cuff tears: a system linking tear pattern to treatment and prognosis. Arthrosc – J Arthrosc Relat Surg 26 (3):417-424.

13. Bailey JR, Kim C, Alentorn-Geli E, Kirkendall DT, Ledbetter L, Taylor DC, Toth AP, Garrigues GE (2019) Rotator Cuff Matrix Augmentation and Interposition: A Systematic Review and Meta-analysis. Am J Sports Med 47 (6):1496-1506.

14. Ferguson DP, Lewington MR, Smith TD, Wong IH (2016) Graft Utilization in the Augmentation of Large-to-Massive Rotator Cuff Repairs: A Systematic Review. Am J Sports Med 44 (11):2984-2992.

15. Steinhaus ME, Makhni EC, Cole BJ, Romeo AA, Verma NN (2016) Outcomes After Patch Use in Rotator Cuff Repair. Arthroscopy 32 (8):1676-1690.

16. Smolen D, Haffner N, Mittermayr R, Hess F, Sternberg C, Leuzinger J (2019) Application of a new polyester patch in arthroscopic massive rotator cuff repair-a prospective cohort study. J Shoulder Elbow Surg.

17. Barber FA, Burns JP, Deutsch A, Labbe MR, Litchfield RB (2012) A prospective, randomized evaluation of acellular human dermal matrix augmentation for arthroscopic rotator cuff repair. Arthrosc – J Arthrosc Relat Surg 28 (1):8-15.

18. Gilot GJ, Alvarez-Pinzon AM, Barcksdale L, Westerdahl D, Krill M, Peck E (2015) Outcome of Large to Massive Rotator Cuff Tears Repaired With and Without Extracellular Matrix Augmentation: A Prospective Comparative Study. Arthroscopy 31 (8):1459-1465.

19. Mori D, Funakoshi N, Yamashita F (2013) Arthroscopic surgery of irreparable large or massive rotator cuff tears with low-grade fatty degeneration of the infraspinatus: patch autograft procedure versus partial repair procedure. Arthroscopy 29 (12):1911-1921.

20. Audenaert E, Van Nuffel J, Schepens A, Verhelst M, Verdonk R (2006) Reconstruction of massive rotator cuff lesions with a synthetic interposition graft: a prospective study of 41 patients. Knee Surg Sports Traumatol Arthrosc 14 (4):360-364.

21. Badhe SP, Lawrence TM, Smith FD, Lunn PG (2008) An assessment of porcine dermal xenograft as an augmentation graft in the treatment of extensive rotator cuff tears. J Shoulder Elbow Surg 17 (1 Suppl):35S-39S.

22. Giannotti S, Ghilardi M, Dell’osso G, Magistrelli L, Bugelli G, Di Rollo F, Ricci G, Calabrese R, Siciliano G, Guido G (2014) Study of the porcine dermal collagen repair patch in morpho-functional recovery of the rotator cuff after minimum follow-up of 2.5 years. Surg Technol Int 24:348-352.

23. Nada AN, Debnath UK, Robinson DA, Jordan C (2010) Treatment of massive rotator-cuff tears with a polyester ligament (Dacron) augmentation: clinical outcome. J Bone Joint Surg Br 92 (10):1397-1402.

24. Rotini R, Marinelli A, Guerra E, Bettelli G, Castagna A, Fini M, Bondioli E, Busacca M (2011) Human dermal matrix scaffold augmentation for large and massive rotator cuff repairs: preliminary clinical and MRI results at 1-year follow-up. Musculoskelet Surg 95 Suppl 1:S13-23.

25. Ciampi P, Scotti C, Nonis A, Vitali M, Di Serio C, Peretti GM, Fraschini G (2014) The benefit of synthetic versus biological patch augmentation in the repair of posterosuperior massive rotator cuff tears: a 3-year follow-up study. Am J Sports Med 42 (5):1169-1175.

26. Longo UG, Lamberti A, Maffulli N, Denaro V (2010) Tendon augmentation grafts: a systematic review. Br Med Bull 94:165-188.

27. Iannotti JP, Codsi MJ, Kwon YW, Derwin K, Ciccone J, Brems JJ (2006) Porcine small intestine submucosa augmentation of surgical repair of chronic two-tendon rotator cuff tears. A randomized, controlled trial. J Bone Joint Surg [Am] 88 (6):1238-1244.

28. Papalia R, Franceschi F, Zampogna B, D’Adamio S, Maffulli N, Denaro V (2013) Augmentation techniques for rotator cuff repair. Br Med Bull 105:107-138.

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30. Sclamberg SG, Tibone JE, Itamura JM, Kasraeian S (2004) Six-month magnetic resonance imaging follow-up of large and massive rotator cuff repairs reinforced with porcine small intestinal submucosa. J Shoulder Elbow Surg 13 (5):538-541.

31. Walton JR, Bowman NK, Khatib Y, Linklater J, Murrell GA (2007) Restore orthobiologic implant: not recommended for augmentation of rotator cuff repairs. J Bone Joint Surg [Am] 89 (4):786-791.

32. Henry P, Wasserstein D, Park S, Dwyer T, Chahal J, Slobogean G, Schemitsch E (2015) Arthroscopic Repair for Chronic Massive Rotator Cuff Tears: A Systematic Review. Arthroscopy 31 (12):2472-2480.

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How to Cite this article: Hess F, Welter J, Jaberg L | Long-term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears | January-June 2023; 9(1): 01-04 | https://doi.org/10.13107/ti.2023.v09.i01.031

 


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A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series

Vol 9 | Issue 1 | January-June 2023 | page: 18-22 | Sampat Dumbre Patil, Gurunath Wachche, Harsh R. Vyas, Rohil Singh Kakkar, Vaishali Dumbre PatilAddress of Correspondence

DOI: https://doi.org/10.13107/ti.2023.v09.i01.033


Authors: Sampat Dumbre Patil [1], Gurunath Wachche [2], Harsh R. Vyas [1], Rohil Singh Kakkar [1], Vaishali Dumbre Patil [3]

[1] Department of Orthopaedics, Sahyadri Super Speciality Hospital, Hadapsar, Pune, Maharashtra, India.

[2]Department of Orthopaedics, Dr. V M Government Medical College, Solapur, Maharashtra, India.

[3] Department of Radiology, Oasis Orthopaedic and Sonography Clinic, Hadapsar, Pune, Maharashtra.

Address of Correspondence

Dr. Harsh R. Vyas

Department of Orthopaedics, Sahyadri Super Speciality Hospital, Hadapsar, Pune, Maharashtra.

E-mail: drharshvyas333@gmail.com


Abstract

Introduction: Calcaneum fractures are the most common tarsal bone fractures accounting for 2% of all bone fractures and approximately 60 % of tarsal bone fractures. Management of intra-articular calcaneal fractures have evolved from conservative to open and minimally invasive surgeries till date. There are still some controversies in treating intra articular displaced calcaneum fractures and treatment modalities continue to evolve with different surgical techniques and implants. We present a large retrospective study series of a safe and simple technique of managing intra-articular calcaneum fractures through sinus tarsi approach and fixation with transarticular Kirschner wires with or without sustentacular screw.

Methods: This retrospective study was done from January 2016 to March 2019 and aimed to evaluate the radiological and functional outcomes in a series of 226 patients with displaced intra-articular fractures of calcaneum managed with a simple surgical technique treated with trans articular K wires with or without sustentacular screw through sinus tarsi approach. Statistical analysis was performed utilizing independent t-test using the p-value ≤0.5

Results: All 226 cases achieved union of fracture within 4 months of follow up and as per American Orthopaedic Foot and Ankle Society (AOFAS) scoring, 57.96% cases had excellent results, 23.45% cases had good and 18.58% cases had fair results respectively. Conclusion Fixation of displaced intra-articular calcaneum fractures with trans articular K wires with or without sustentacular screw through sinus tarsi approach is a soft tissue preserving surgical technique which restores the near normal biomechanics of the calcaneum.

Keywords: Calcaneum fractures, Heel injuries, Sinus tarsi approach, Minimally invasive surgery, Calcaneum fixation, K wire fixation


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How to Cite this article: Patil SD, Wachche G, Vyas HR, Kakkar RS, Patil VD | A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series | January-June 2023; 9(1): 18-22 | https://doi.org/10.13107/ti.2023.v09.i01.33

 


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