Introduction of a New Locking Nail for Treatment of
Intraarticular Calcaneal Fractures

J 2016

Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures

ZWIPP, Hans, Libor PAŠA, Luboš ŽILKA, Michael AMLANG, Stefan RAMMELT et. al.

Základní údaje

Originální název

Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures

Autoři

ZWIPP, Hans (276 Německo), Libor PAŠA (203 Česká republika, garant, domácí), Luboš ŽILKA (203 Česká republika), Michael AMLANG (203 Česká republika), Stefan RAMMELT (276 Německo) a Martin POMPACH (203 Česká republika)

Vydání

Journal of Orthopaedic Trauma, Philadelphia, Lippincott Williams & Wilkins, 2016, 0890-5339

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30211 Orthopaedics

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.251

Kód RIV

RIV/00216224:14110/16:00090096

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1097/BOT.0000000000000482

UT WoS

000371385200003

Klíčová slova anglicky

sinus tarsi approach; arthroscopy; fluoroscopy; calcaneal fracture; locking calcaneal nail

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 4. 8. 2016 08:53, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Objectives: To reduce the complication rate associated with open reduction and internal fixation of displaced intraarticular calcaneal fractures through extensile approaches, a locking nail system (C-Nail) was developed for internal fixation. Design: Prospective case–control study. Setting: Two level I trauma centers (university hospital) and 1 large regional hospital in the Czech Republic and Germany. Patients: One hundred three patients (89 male and 14 female; mean age, 45.6 years) with 106 calcaneal fractures were treated between February 2011 and October 2013. Intervention: In all 106 cases, the stainless steel C-Nail with a length of 65 mm, a diameter of 8 mm, and 7 locking options was used for internal fixation. Previous reduction of the posterior facet was performed in 15 cases percutaneously, assisted by arthroscopy and fluoroscopy, and in 91 cases by a sinus tarsi approach. The reduced joint surface was fixed by 1 or 2 compression screws. All other fragments were fixed after reduction and temporary K-wire fixation with the C-Nail introduced percutaneously through the tuberosity and 5 to 6 interlocking screws. The latter were introduced into the sustentacular, the tuberosity, and the anterior process fragments with an aiming device consisting of 3 arms. Main Outcome Measures: Patients were assessed for complications, restoration of Böhler angle, posterior facet reduction with postoperative computed tomography, and weight-bearing radiographs at 6 months. Functional outcome was assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle/hindfoot scale after 6 and 12 months for all patients. Results: Wound edge necrosis was seen in 2 cases (1.9%), and soft tissue infection was observed in 1 case (0.9%). Böhler angle improved from 7.3 degree preoperatively to 28.7 degree at 6 months. The posterior facet step-off was reduced from 5.3 mm preoperatively to 0.7 mm postoperatively. The average AOFAS score averaged 89.5 at 6-month and 92.6 at 12-month follow-up. Conclusions: The C-Nail is a new locking system for treatment of displaced intraarticular calcaneal fractures combining a primary stability with reduced soft tissue complications.

Citovat

ZWIPP, Hans, Libor PAŠA, Luboš ŽILKA, Michael AMLANG, Stefan RAMMELT a Martin POMPACH. Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures. Journal of Orthopaedic Trauma. Philadelphia: Lippincott Williams & Wilkins, 2016, roč. 30, č. 3, s. "E88"-"E92", 5 s. ISSN 0890-5339. Dostupné z: https://dx.doi.org/10.1097/BOT.0000000000000482.

@article{1346652,
   author = {Zwipp, Hans and Paša, Libor and Žilka, Luboš and Amlang, Michael and Rammelt, Stefan and Pompach, Martin},
   article_location = {Philadelphia},
   article_number = {3},
   doi = {http://dx.doi.org/10.1097/BOT.0000000000000482},
   keywords = {sinus tarsi approach; arthroscopy; fluoroscopy; calcaneal fracture; locking calcaneal nail},
   language = {eng},
   issn = {0890-5339},
   journal = {Journal of Orthopaedic Trauma},
   title = {Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures},
   volume = {30},
   year = {2016}
}

TY  - JOUR
ID  - 1346652
AU  - Zwipp, Hans - Paša, Libor - Žilka, Luboš - Amlang, Michael - Rammelt, Stefan - Pompach, Martin
PY  - 2016
TI  - Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures
JF  - Journal of Orthopaedic Trauma
VL  - 30
IS  - 3
SP  - "E88"-"E92"
EP  - "E88"-"E92"
PB  - Lippincott Williams & Wilkins
SN  - 08905339
KW  - sinus tarsi approach
KW  - arthroscopy
KW  - fluoroscopy
KW  - calcaneal fracture
KW  - locking calcaneal nail
N2  - Objectives: To reduce the complication rate associated with open reduction and internal fixation of displaced intraarticular calcaneal fractures through extensile approaches, a locking nail system (C-Nail) was developed for internal fixation. Design: Prospective case–control study. Setting: Two level I trauma centers (university hospital) and 1 large regional hospital in the Czech Republic and Germany. Patients: One hundred three patients (89 male and 14 female; mean age, 45.6 years) with 106 calcaneal fractures were treated between February 2011 and October 2013. Intervention: In all 106 cases, the stainless steel C-Nail with a length of 65 mm, a diameter of 8 mm, and 7 locking options was used for internal fixation. Previous reduction of the posterior facet was performed in 15 cases percutaneously, assisted by arthroscopy and fluoroscopy, and in 91 cases by a sinus tarsi approach. The reduced joint surface was fixed by 1 or 2 compression screws. All other fragments were fixed after reduction and temporary K-wire fixation with the C-Nail introduced percutaneously through the tuberosity and 5 to 6 interlocking screws. The latter were introduced into the sustentacular, the tuberosity, and the anterior process fragments with an aiming device consisting of 3 arms. Main Outcome Measures: Patients were assessed for complications, restoration of Böhler angle, posterior facet reduction with postoperative computed tomography, and weight-bearing radiographs at 6 months. Functional outcome was assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle/hindfoot scale after 6 and 12 months for all patients. Results: Wound edge necrosis was seen in 2 cases (1.9%), and soft tissue infection was observed in 1 case (0.9%). Böhler angle improved from 7.3 degree preoperatively to 28.7 degree at 6 months. The posterior facet step-off was reduced from 5.3 mm preoperatively to 0.7 mm postoperatively. The average AOFAS score averaged 89.5 at 6-month and 92.6 at 12-month follow-up. Conclusions: The C-Nail is a new locking system for treatment of displaced intraarticular calcaneal fractures combining a primary stability with reduced soft tissue complications.
ER  -

ZWIPP, Hans, Libor PAŠA, Luboš ŽILKA, Michael AMLANG, Stefan RAMMELT a Martin POMPACH. Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures. \textit{Journal of Orthopaedic Trauma}. Philadelphia: Lippincott Williams \&{} Wilkins, 2016, roč.~30, č.~3, s.~''E88''-''E92'', 5 s. ISSN~0890-5339. Dostupné z: https://dx.doi.org/10.1097/BOT.0000000000000482.

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