Ahmad Shahla, MD; Saeed Charehsaz, MD
Abstract
Background: Open reduction and internal fixation of intra-articular calcaneal fractures is technically difficult. Anatomical reduction is needed in order to obtain good subtalar motion and satisfactory clinical outcome. Reliable and accurate open reduction technique is needed for good results. We would ...
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Background: Open reduction and internal fixation of intra-articular calcaneal fractures is technically difficult. Anatomical reduction is needed in order to obtain good subtalar motion and satisfactory clinical outcome. Reliable and accurate open reduction technique is needed for good results. We would like to report on a modification of open reduction technique for such a fracture.Methods: A cross-sectional study on 6 male and 1 female patients, with mean age of 39±7.72 with intra-articular calcaneal fracture was performed from 2001 to 2002. The cases had articular surfacer with Bohler angles of zero degree or less. The Sander’s classification of CT images included 4 cases into type IV and 3 into type III fracture types. Open reduction using the modified technique was performed through a lateral approach. The cases were evaluated by AOFAS functional scoring system with a mean follow-up of 3 years (18-60) months.Results: All the cases were satisfied to full pre-fracture jobs and activities. The AOFAS score was 82 (good) in type IV and 89 (excellent) for type III Sander’s fractures.Conclusions: Accurate open reduction of complex intra-articular calcaneal fracture with the modified reduction technique gives good functional results.
Ahmad Shahla MD; Saeid Charehsaz MD
Abstract
Background: Combined arterial and skeletal trauma in lower limb imparts a substantially higher risk of limb loss and limb morbidity. Prompt diagnosis and rapid treatment is necessary for optimal limb salvage. The aim of this study was to evaluate the results of management of lower limb fracture, dislocations ...
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Background: Combined arterial and skeletal trauma in lower limb imparts a substantially higher risk of limb loss and limb morbidity. Prompt diagnosis and rapid treatment is necessary for optimal limb salvage. The aim of this study was to evaluate the results of management of lower limb fracture, dislocations with vascular injuries in a university hospital.Methods: 16 male patients with combined lower limb fracture, dislocations and vascular injuries were studied during a 2 year period in a prospective cross-sectional manner.Results: The mean age was 25±10.33 (15-50). More than half of the cases were 20 yr old or younger. Eleven cases had motorcycle accident. Eleven cases had 6 hour or more intervals between accident and surgery. Skeletal trauma in 7 cases was femoral, 3 cases proximal and 1 case supracondylar femoral fracture. Vascular injuries in 7 cases was popliteal, 3 cases femoral, and 4 cases tibial. The fracture treatment in 8 cases was external fixator, 3 cases internal fixation, and the rest conservative treatment. Popliteal artery and veins were repaired with resection of damaged part and autogenous reversed saphenous vein patch. Tibial vessels were repaired with end-to-end sutures.Conclusions: Amputation was done in 5 cases mainly due to long interval between accident and surgery.
