Talus- und Kalkaneusfrakturen

详细信息    查看全文

• 作者：Kathleen Hartwich ; Prof. Dr. med. Stefan Rammelt
• 关键词：Osteosynthesis ; Arthritis ; Reduction ; Dislocation ; Aftertreatment
• 刊名：Trauma und Berufskrankheit
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：18
• 期：3-supp
• 页码：231-240
• 全文大小：1,023 KB
• 参考文献：1.Ågren PH, Wretenberg P, Sayed-Noor AS (2013) Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am 95:1351–1357CrossRef PubMed
  2.Ågren PH, Mukka S, Tullberg T, Wretenberg P, Sayed-Noor AS (2014) Factors affecting long-term treatment results of displaced intra-articular calcaneal fractures. A post-hoc analysis of a prospective, randomized, controlled multicenter trial. J Orthop Trauma 28:564–568CrossRef PubMed
  3.Baumhauer JF, Alvarez RG (1995) Controversies in treating talus fractures. Orthop Clin North Am 26:335–351PubMed
  4.Bellamy JL, Keeling JJ, Wenke J, Hsu JR (2011) Does a longer delay in fixation of talus fractures cause osteonecrosis? J Surg Orthop Adv 20:34–37PubMed
  5.Bibbo C, Anderson RB, Davis WH (2003) Injury characteristics and the clinical outcome of subtalar dislocations: a clinical and radiographic analysis of 25 cases. Foot Ankle Int 24(2):158–163PubMed
  6.Boack DH, Manegold S, Haas NP (2004) Therapiestrategie bei Talusfrakturen. Unfallchirurg 107:499–514PubMed
  7.Brenner P, Rammelt S, Gavlik JM, Zwipp H (2001) Early soft tissue coverage after complex foot trauma. World J Surg 25:603–609CrossRef PubMed
  8.Buckley R, Tough S, McCormack R et al (2002) Operative compared with nonoperative treatment of displaced intra- articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am 84-A:1733–1744PubMed
  9.Buckley R, Leighton R, Sanders D, Poon J, Coles CP, Stephen D, Paolucci EO (2014) Injury characteristics and the clinical outcome of subtalar dislocations: a clinical and radiographic analysis of 25 cases. J Orthop Trauma 28(10):577–583CrossRef PubMed
  10.Canale ST, Kelly FB Jr (1978) Fractures oft he neck oft the talus. J Bone Joint Surg (Am) 60:143–156
  11.Cronier P, Talha A, Massin P (2004) Central talar fractures-therapeutic consinderations. Injury 35(Suppl 2):SB10–SB22CrossRef
  12.Dürr C, Zwipp H, Rammelt S (2013) Fractures of the sustentaculum tali. Operat Orthop Traumatol 25(6):569–578CrossRef
  13.Fleuriau Chateau PB, Brokaw DS, Jelen BA, Scheid DK, Weber TG (2002) Plate fixation of talar neck fractures: preliminary review of a new technique in twenty-three patients. J Orthop Trauma 16:213–219CrossRef PubMed
  14.Gardner MJ, Nork SE, Barei DP, Kramer PA, Sangeorzan BJ, Benirschke SK (2008) Secondary soft tissue compromise in tongue-type calcaneus fractures. J Orthop Trauma 22:439–445CrossRef PubMed
  15.Giuffrida AY, Lin SS, Abidi N, Berberian W, Berkman A, Behrens FF (2003) Pseudo os trigonum sign: missed posteromedial talar facet fractures. Foot Ankle int 24:642–649
  16.Goldzak M, Mittlmeier T, Simon P (2012) Locked nailing for the treatment of displaced articular fractures of the calcaneus: description of a new procedure with calcanail(R). Eur J Orthop Surg Traumatol 22(4):345–349CrossRef PubMed PubMedCentral
  17.Griffin D, Parsons N, Shaw E, Kulikov N, Hutchinson C, Thorogood M (2014) Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial. BMJ 349:g4483CrossRef PubMed PubMedCentral
  18.Hawkins LG (1970) Fractures oft he neck oft the talus. J Bone Joint Surg Am 52:991–1002PubMed
  19.Kundel K, Braun W, Scherer A (1995) Spätergebnisse nach zentralen Talusfrakturen. Unfallchirurg 98:124–129PubMed
  20.Kuner EH, Lindenaier HL (1983) Zur Behandlung der Talusfraktur. Kontrollstudie von 262 Behandlungsfällen. Unfallchirurgie 9(35):40
  21.Lenz M, Marintschev I, Klos K, Hofmann GO (2014) Therapiestrategien bei Talusfrakturen. Trauma Berufkranh 16:167–172CrossRef
  22.Lindvall E, Haidukewych G, DiPasquale T, Herscovici D Jr, Sanders R (2004) Open reduction and stable fixation of isolated, displaced talar neck and body fractures. J Bone Joint Surg Am 86-A:2229–2234PubMed
  23.Marti R (1974) Talus und Calcaneusfrakturen. In: Weber BG, Brunner C, Freuler F (Hrsg) Die Frakturenbehandlung bei Kindern und Jugendlichen. Berlin, Springer-Verlag
  24.Mehta S, Mirza AJ, Dunbar RP, Barei DP, Benirschke SK (2010) A staged treatment plan for the management of Type II and Type IIIA open calcaneus fractures. J Orthop Trauma 24(3):142–147CrossRef PubMed
  25.Mulcahy DM, McCormack DM, Stephens MM (1998) Intra-articular calcaneal fractures: effect of open reduction and internal fixation on the contact characteristics of the subtalar joint. Foot Ankle Int 19(12):842–848CrossRef PubMed
  26.Nehme A, Chaminade B, Chiron P, Fabie F, Tricoire JL, Puget J (2004) Reduction et viaage percutanes des fractures thalamiques du calcaneus sous controle arthroscopique et fluoroscopique. Rev Chir Orthop Reparatrice Appar Mot 90:256–264CrossRef PubMed
  27.Nosewicz T, Knupp M, Barg A et al (2012) Mini-open sinus tarsi approach with percutaneous screw fixation of displaced calcaneal fractures: a prospective computed tomography-based study. Foot Ankle Int 33(11):925–933CrossRef PubMed
  28.Parisien JS, Vangsness T (1985) Arthroscopy oft he subtalar joint: an experimental approach. Arthroscopy 1:53–57CrossRef PubMed
  29.Peterson L, Romanus B, Dahlberg E (1976) Fracture oft he collum tali – an experimental study. J Biomechanics 9:227–279CrossRef
  30.Poeze M, Verbruggen JP, Brink PR (2008) The relationship between the outcome of operatively treated calcaneal fractures and institutional fracture load. A systematic review of the literature. J Bone Joint Surg Am 90(5):1013–1021CrossRef PubMed
  31.Radnay CS, Clare MP, Sanders RW (2009) Subtalar fusion after displaced intra-articular calcaneal fractures: does initial operative treatment matter? J Bone Joint Surg Am 91:541–546CrossRef PubMed
  32.Rammelt S (2014) An update on the treatment of calcaneal fractures. J Orthop Trauma 28:549–550CrossRef PubMed
  33.Rammelt S, Goronzy J (2015) Subtalar dislocations. Foot Ankle Clin 20(2):253–264. doi:10.1016/j.fcl.2015.02.008CrossRef PubMed
  34.Rammelt S, Zwipp H (2004) Calcaneus fractures: facts, controversies and recent developments. Injury 35(5):443–461. (Review)CrossRef PubMed
  35.Rammelt S, Zwipp H (2009) Talar neck and body fractures. Injury 40:120–135CrossRef PubMed
  36.Rammelt S, Zwipp H (2014) Fractures of the calcaneus: current treatment strategies. Acta Chir Orthop Traumal Czech 81:177–196
  37.Rammelt S, Gavlik JM, Barthel S, Zwipp H (2002) The value of subtalar arthroscopy in the management of intra-articular calcaneus fractures. Foot Ankle Int 23:906–916CrossRef PubMed
  38.Rammelt S, Amlang M, Barthel S, Zwipp H (2004) Minimally-invasive treatment of calcaneal fractures. Injury 35(Suppl 2):SB55–SB63. (Review)
  39.Rammelt S, Amlang M, Barthel S, Gavlik JM, Zwipp H (2010) Percutaneous treatment of less severe intrarticular calcaneal fractures. Clin Orthop Relat Res 468:983–990CrossRef PubMed PubMedCentral
  40.Rammelt S, Dürr C, Schneiders W, Zwipp H (2012) Minimal-invasive Osteosynthese von Kalkaneusfrakturen. Oper Orthop Traumatol 24:383–395CrossRef PubMed
  41.Rammelt S, Winkler J, Zwipp H (2013) Osteosynthese zentraler Talusfrakturen. Oper Orthop Traumatol 25:525–541CrossRef PubMed
  42.Rammelt S, Zwipp H, Schneiders W, Dürr C (2013) Severity of injury predicts subsequent function in surgically treated displaced intraarticular calcaneal fractures. Clin Orthop Relat Res 471(9):2885–2898CrossRef PubMed PubMedCentral
  43.Rübberdt A, Feil R, Stengel D et al (2006) Die klinische wertigkeit des ISO-C(3D) bei der Osteosynthese des Fersenbeins. Unfallchirurg 109(2):112–118CrossRef PubMed
  44.Sanders R (1992) Intra-articular fractures of the calcaneus: present state of art. J Orthop Trauma 6:252–265CrossRef PubMed
  45.Sanders R (2000) Displaced intra-articular fractures of the calcaneus. J Bone Joint Surg Am 82(2):225–250PubMed
  46.Sanders R (2012) Turning tongues into joint depressions: a new calcaneal osteotomy. J Orthop Trauma 26(3):193–196CrossRef PubMed
  47.Sanders R, Rammelt S (2013) Fractures of the calcaneus. In: Coughlin MJ, Saltzman CR, Anderson JB (Hrsg) Mann’s surgery of the foot & ankle, 9. Aufl. Elsevier, St. Louis, S 2041–2100
  48.Sangeorzan BJ, Ananthakrishnan D, Tencer AF (1995) Contact characteristics of the subtalar joint after a simulated calcaneus fracture. J Orthop Trauma 9(3):251–258CrossRef PubMed
  49.Schepers T (2011) The sinus tarsi approach in displaced intra-articular calcaneal fractures: a systematic review. Int Orthop 35(5):697–703CrossRef PubMed PubMedCentral
  50.Schuberth JM, Cobb MD, Talarico RH (2009) 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 48:315–322CrossRef PubMed
  51.Schulze W, Richter J, Klapprich TH, Muhr G (1998) Funktionsergebnisse nach operativer Therapie von Talusfrakturen. Chirurg 69:1207–1213CrossRef PubMed
  52.Tezval M, Dumont C, Sturmer KM (2007) Prognostic reliability of the Hawkins sign in fractures of the talus. J Orthop Trauma 21:538–543CrossRef PubMed
  53.Vallier HA, Nork SE, Benirschke SK, Sangeorzan BJ (2003) Surgical treatment of talar body fractures. J Bone Joint Surg Am 85-A:1716–1724PubMed
  54.Vallier HA, Reichard SG, Boyd AJ, Moore TA (2004) A new look at the Hawkins classicifcaiton for talar neck fractures: which features of injury and treatment are predictive of osteonecrosis? J Bone Joint Surg Am 86-A:1616–1624PubMed
  55.Woon CY, Chong KW, Yeo W, Eng-Meng Yeo N, Wong MK (2011) Subtalar arthroscopy and flurosocopy in percutaneous fixation of intra-articular calcaneal fractures: the best of both worlds. J Trauma 71:917–925CrossRef PubMed
  56.Younger A (2013) A calcaneal fracture study illustrates a need for better statistical methods for orthopaedic outcomes: commentary on an article by Per-Henrik Ågren, MD, et al.: „Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures. a prospective, randomized, controlled multicenter trial“. J Bone Joint Surg Am 95(15):e111CrossRef PubMed
  57.Zwipp H (1994) Chirurgie des Fußes. Springer, WienCrossRef
  58.Zwipp H, Baumgart F, Cronier P et al (2004) integral classification of injuries (ICI) tot he bone, joints, and ligaments – application to injuries oft he foot. Injury 35(Suppl 2):SB3–SB9
  59.Zwipp H, Rammelt S, Gavlik JM (2009) Anatomische Rekonstruktion fehlverheilter Talusfrakturen. Fuß Sprunggelenk 7:88–96CrossRef
  60.Zwipp H, Rammelt S, Amlang M, Pompach M, Dürr C (2013) Osteosynthese dislozierter intraartikulärer Calcaneusfrakturen. Oper Orthop Traumatol 25:554–568CrossRef PubMed
  61.Zwipp H, Rammelt S (2014) Tscherne Unfallchirurgie: Fuß. Springer-Verlag, BerlinCrossRef
  
• 作者单位：Kathleen Hartwich (1)
  Prof. Dr. med. Stefan Rammelt (1)
  
  1. UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus der TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Traumatic Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1436-6282

文摘

The treatment of displaced fractures of the talus and calcaneus is associated with a considerable learning curve. Malunion results in significant limitations of global foot function and painful posttraumatic arthritis. While early reduction of dislocations and fracture dislocations represent an emergency situation, the timing of definitive fixation has no measurable impact on the results and the incidence of avascular necrosis in central fractures of the talus. For internal fixation of displaced fractures with central comminution or medial joint impaction, anatomically shaped interlocking plates are available in addition to screws. The ideal treatment of displaced intra-articular calcaneal fractures is still controversial. Because of the variable fracture patterns and the vulnerable soft tissue cover, an individual treatment concept is advisable. In order to minimize the wound margin necrosis associated with extensile lateral approaches, selected fractures should be treated with less invasive fixation while controlling joint reduction via a sinus tarsi approach. Fixation in these cases is achieved with screws, intramedullary locking nails or modified plates that are inserted subcutaneously. Displaced extra-articular and simple intra-articular fractures can be reduced and fixed percutaneously. Functional aftertreatment aims at early rehabilitation independent of the kind of fixation. Peripheral fractures of the talus and calcaneus frequently result from subluxation and dislocation at the subtalar and Chopart's joints. They are still regularly overlooked and result in painful arthritis if left untreated. If an exact anatomical reduction of these intra-articular fractures is impossible, resection of small fragments is indicated.