APPLICATION PROGRESS OF MINIMALLY INVASIVE TECHNIQUE IN TREATMENT OF CALCANEUS FRACTURES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YU Tao , YANG Yunfeng , YU Guangrong.

Department of Orthopedics, Affiliated Tongji Hospital of Tongji University, Shanghai, 200065, P.R.China. Corresponding author: YU Guangrong, E-mail: yuguangrong2002@yahoo.com.cn;

Corresponding author：

Keywords：

Minimally invasive technique; Calcaneus fracture; Surgical treatment

DOI：

10.7507/1002-1892.20130051

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Objective To review the application progress of minimally invasive technique in the treatment of calcaneus fractures and to analyze the advantages and disadvantages of each method as well as to predict the trend of development in the field. Methods Domestic and abroad literature concerning the minimally invasive technique applied in calcaneus fractures in recent years was reviewed extensively and analyzed thoroughly. Results There are both advantages and limitations of each minimally invasive technique including percutaneous reduction and fixation, limited incision, external fixator, arthroscopic assisted reduction, and balloon expansion reduction. But every technique is developing rapidly and becoming more and more effective. Conclusion A variety of minimally invasive technique can not only be used independently but also can be applied jointly to complement one another. It needs further study how to improve the effectiveness and expand the indications. And the theoretical basis of evidence-based medicine needs to be provided more.

Citation： YU Tao,YANG Yunfeng,YU Guangrong.. APPLICATION PROGRESS OF MINIMALLY INVASIVE TECHNIQUE IN TREATMENT OF CALCANEUS FRACTURES. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(2): 236-239. doi: 10.7507/1002-1892.20130051 Copy

1.	Potter MQ, Nunley JA. Long-term functional outcomes after operative treatment for intra-articular fractures of the calcaneus. J Bone Joint Surg (Am), 2009, 91(8): 1854-1860.
2.	SooHoo NF, Farng E, Krenek L, et al. Complication rates following operative treatment of calcaneus fractures. Foot Ankle Surg, 2011, 17(4): 233-238.
3.	Stulik J, Stehlik J, Rysavy M, et al. Minimally-invasive treatment of intra-articular fractures of the calcaneum. J Bone Joint Surg (Br), 2006, 88(12): 1634-1641.
4.	DeWall M, Henderson CE, McKinley TO, et al. Percutaneous reduction and fixation of displaced intra-articular calcaneusfractures. J Orthop Trauma, 2010, 24(8): 466-472.
5.	Pezzoni M, Salvi AE, Tassi M, et al. A minimally invasive reduction and synthesis method for calcaneal fractures: the “Brixian bridge” technique. J Foot Ankle Surg, 2009, 48(1): 85-88.
6.	Schepers T, Schipper IB, Vogels LM, et al. Percutaneous treatment of displaced intra-articular calcaneal fractures. J Orthop Sci, 2007, 12(1): 22-27.
7.	Schepers T, Vogels LM, Schipper IB, et al. Percutaneous reduction and fixation of intraarticular calcaneal fractures. Oper Orthop Traumatol, 2008, 20(2): 168-175.
8.	Tomesen T, Biert J, Frolke JP. Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation. J Bone Joint Surg (Am), 2011, 93(10): 920-928.
9.	Wee AT, Wong YS. Percutaneous reduction and injection of Norian bone cement for the treatment of displaced intra-articular calcaneal fractures. Foot Ankle Spec, 2009, 2(2): 98-106.
10.	Rübberdt A, Hofbauer VR, Herbort M, et al. 3D navigated osteosynthesis of calcaneal fractures. Open and minimally invasive techniques. Unfallchirurg, 2009, 112(1): 15-22.
11.	Palmer I. The mechanism and treatment of fractures of the calcaneus; open reduction withthe use of cancellous grafts. J Bone Joint Surg (Am), 1948, 30A(1): 2-8.
12.	Hospodar P, Guzman C, Johnson P, et al. Treatment of displaced calcaneus fractures using a minimally invasive sinus tarsiapproach. Orthopedics, 2008, 31(11): 1112.
13.	俞光荣, 朱辉, 燕晓宇, 等. 小蝶形钛钢板的研制及其在跟骨关节内骨折手术中的应用. 中华创伤杂志, 2005, 21(10): 750-754.
14.	Shan SL, Xu JL, Yao SZ, et al. Minimally invasive plate internal fixation for calcaneal fractures. Chin J Traumatol, 2010, 13(5): 313-315.
15.	Wang Q, Chen W, Su Y, et al. Minimally invasive treatment of calcaneal fracture by percutaneous leverage, anatomical plate, and compression bolts--the clinical evaluation of cohort of 156 patients. J Trauma, 2010, 69(6): 1515-1522.
16.	Femino JE, Vaseenon T, Levin DA, et al. Modification of the sinus tarsi approach for open reduction and plate fixation ofintra-articular calcaneus fractures: the limits of proximal extension based upon the vascular anatomy of the lateral calcaneal artery. Iowa Orthop J, 2010, 30: 161-167.
17.	Weber M, Lehmann O, Sagesser D, et al. Limited open reduction and internal fixation of displaced intra-articularfractures of the calcaneum. J Bone Joint Surg (Br), 2008, 90(12): 1608-1616.
18.	Besch L, Waldschmidt JS, Daniels-Wredenhagen M, et al. The treatment of intra-articular calcaneus fractures with severe soft tissuedamage with a hinged external fixator or internal stabilization: long-termresults. J Foot Ankle Surg, 2010, 49(1): 8-15.
19.	Emara KM, Allam MF. Management of calcaneal fracture using the Ilizarov technique. Clin Orthop Relat Res, 2005, (439): 215-220.
20.	Ali AM, Elsaied MA, Elmoghazy N. Management of calcaneal fractures using the Ilizarov external fixator. Acta Orthop Belg, 2009, 75(1): 51-56.
21.	Talarico LM, Vito GR, Zyryanov SY. Management of displaced intraarticular calcaneal fractures by using external ringfixation, minimally invasive open reduction, and early weightbearing. J Foot Ankle Surg, 2004, 43(1): 43-50.
22.	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(3): 315-322.
23.	Frey C, Wallis D, Feder KS, et al. Arthroscopic resection of an anterior calcaneal fracture: a case report. Foot Ankle Int, 2005, 26(5): 409-411.
24.	Atesok K, Doral MN, Whipple T, et al. Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc, 2011, 19(2): 320-329.
25.	Woon CY, Chong KW, Yeo W, et al. Subtalar arthroscopy and flurosocopy in percutaneous fixation of intra-articular calcaneal fractures: the best of both worlds. J Trauma, 2011, 71(4): 917-925.
26.	Rammelt S, Amlang M, Barthel S, et al. Percutaneous treatment of less severe intraarticular calcaneal fractures. Clin Orthop Relat Res, 2010, 468(4): 983-990.
27.	Beimers L, Frey C, van Dijk CN. Arthroscopy of the posterior subtalar joint. Foot Ankle Clin, 2006, 11(2): 369-390.
28.	Muijs SP, Nieuwenhuijse MJ, Van Erkel AR, et al. Percutaneous vertebroplasty for the treatment of osteoporotic vertebralcompression fractures: evaluation after 36 months. J Bone Joint Surg (Br), 2009, 91(3): 379-384.
29.	Jacquot F, Atchabahian A. Balloon reduction and cement fixation in intra-articular calcaneal fractures: apercutaneous approach to intra-articular calcaneal fractures. Int Orthop, 2011, 35(7): 1007-1014.
30.	Bano A, Pasku D, Karantanas A, et al. Intra-articular calcaneal fracture: closed reduction and balloon-assistedaugmentation with calcium phosphate cement: a case report. Cases J, 2009, 2: 9290.
31.	Gupta AK, Gluck GS, Parekh SG. Balloon reduction of displaced calcaneus fractures: surgical technique and caseseries. Foot Ankle Int, 2011, 32(2): 205-210.
32.	Zhao HM, Yu GR, Yang YF. Comments on Jacquot et al. “balloon reduction and cement fixation inintra-articular calcaneal fractures: a percutaneous approach to intra-articularcalcaneal fractures”. Int Orthop, 2011, 35(11): 1743.

1. Potter MQ, Nunley JA. Long-term functional outcomes after operative treatment for intra-articular fractures of the calcaneus. J Bone Joint Surg (Am), 2009, 91(8): 1854-1860.
2. SooHoo NF, Farng E, Krenek L, et al. Complication rates following operative treatment of calcaneus fractures. Foot Ankle Surg, 2011, 17(4): 233-238.
3. Stulik J, Stehlik J, Rysavy M, et al. Minimally-invasive treatment of intra-articular fractures of the calcaneum. J Bone Joint Surg (Br), 2006, 88(12): 1634-1641.
4. DeWall M, Henderson CE, McKinley TO, et al. Percutaneous reduction and fixation of displaced intra-articular calcaneusfractures. J Orthop Trauma, 2010, 24(8): 466-472.
5. Pezzoni M, Salvi AE, Tassi M, et al. A minimally invasive reduction and synthesis method for calcaneal fractures: the “Brixian bridge” technique. J Foot Ankle Surg, 2009, 48(1): 85-88.
6. Schepers T, Schipper IB, Vogels LM, et al. Percutaneous treatment of displaced intra-articular calcaneal fractures. J Orthop Sci, 2007, 12(1): 22-27.
7. Schepers T, Vogels LM, Schipper IB, et al. Percutaneous reduction and fixation of intraarticular calcaneal fractures. Oper Orthop Traumatol, 2008, 20(2): 168-175.
8. Tomesen T, Biert J, Frolke JP. Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation. J Bone Joint Surg (Am), 2011, 93(10): 920-928.
9. Wee AT, Wong YS. Percutaneous reduction and injection of Norian bone cement for the treatment of displaced intra-articular calcaneal fractures. Foot Ankle Spec, 2009, 2(2): 98-106.
10. Rübberdt A, Hofbauer VR, Herbort M, et al. 3D navigated osteosynthesis of calcaneal fractures. Open and minimally invasive techniques. Unfallchirurg, 2009, 112(1): 15-22.
11. Palmer I. The mechanism and treatment of fractures of the calcaneus; open reduction withthe use of cancellous grafts. J Bone Joint Surg (Am), 1948, 30A(1): 2-8.
12. Hospodar P, Guzman C, Johnson P, et al. Treatment of displaced calcaneus fractures using a minimally invasive sinus tarsiapproach. Orthopedics, 2008, 31(11): 1112.
13. 俞光荣, 朱辉, 燕晓宇, 等. 小蝶形钛钢板的研制及其在跟骨关节内骨折手术中的应用. 中华创伤杂志, 2005, 21(10): 750-754.
14. Shan SL, Xu JL, Yao SZ, et al. Minimally invasive plate internal fixation for calcaneal fractures. Chin J Traumatol, 2010, 13(5): 313-315.
15. Wang Q, Chen W, Su Y, et al. Minimally invasive treatment of calcaneal fracture by percutaneous leverage, anatomical plate, and compression bolts--the clinical evaluation of cohort of 156 patients. J Trauma, 2010, 69(6): 1515-1522.
16. Femino JE, Vaseenon T, Levin DA, et al. Modification of the sinus tarsi approach for open reduction and plate fixation ofintra-articular calcaneus fractures: the limits of proximal extension based upon the vascular anatomy of the lateral calcaneal artery. Iowa Orthop J, 2010, 30: 161-167.
17. Weber M, Lehmann O, Sagesser D, et al. Limited open reduction and internal fixation of displaced intra-articularfractures of the calcaneum. J Bone Joint Surg (Br), 2008, 90(12): 1608-1616.
18. Besch L, Waldschmidt JS, Daniels-Wredenhagen M, et al. The treatment of intra-articular calcaneus fractures with severe soft tissuedamage with a hinged external fixator or internal stabilization: long-termresults. J Foot Ankle Surg, 2010, 49(1): 8-15.
19. Emara KM, Allam MF. Management of calcaneal fracture using the Ilizarov technique. Clin Orthop Relat Res, 2005, (439): 215-220.
20. Ali AM, Elsaied MA, Elmoghazy N. Management of calcaneal fractures using the Ilizarov external fixator. Acta Orthop Belg, 2009, 75(1): 51-56.
21. Talarico LM, Vito GR, Zyryanov SY. Management of displaced intraarticular calcaneal fractures by using external ringfixation, minimally invasive open reduction, and early weightbearing. J Foot Ankle Surg, 2004, 43(1): 43-50.
22. 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(3): 315-322.
23. Frey C, Wallis D, Feder KS, et al. Arthroscopic resection of an anterior calcaneal fracture: a case report. Foot Ankle Int, 2005, 26(5): 409-411.
24. Atesok K, Doral MN, Whipple T, et al. Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc, 2011, 19(2): 320-329.
25. Woon CY, Chong KW, Yeo W, et al. Subtalar arthroscopy and flurosocopy in percutaneous fixation of intra-articular calcaneal fractures: the best of both worlds. J Trauma, 2011, 71(4): 917-925.
26. Rammelt S, Amlang M, Barthel S, et al. Percutaneous treatment of less severe intraarticular calcaneal fractures. Clin Orthop Relat Res, 2010, 468(4): 983-990.
27. Beimers L, Frey C, van Dijk CN. Arthroscopy of the posterior subtalar joint. Foot Ankle Clin, 2006, 11(2): 369-390.
28. Muijs SP, Nieuwenhuijse MJ, Van Erkel AR, et al. Percutaneous vertebroplasty for the treatment of osteoporotic vertebralcompression fractures: evaluation after 36 months. J Bone Joint Surg (Br), 2009, 91(3): 379-384.
29. Jacquot F, Atchabahian A. Balloon reduction and cement fixation in intra-articular calcaneal fractures: apercutaneous approach to intra-articular calcaneal fractures. Int Orthop, 2011, 35(7): 1007-1014.
30. Bano A, Pasku D, Karantanas A, et al. Intra-articular calcaneal fracture: closed reduction and balloon-assistedaugmentation with calcium phosphate cement: a case report. Cases J, 2009, 2: 9290.
31. Gupta AK, Gluck GS, Parekh SG. Balloon reduction of displaced calcaneus fractures: surgical technique and caseseries. Foot Ankle Int, 2011, 32(2): 205-210.
32. Zhao HM, Yu GR, Yang YF. Comments on Jacquot et al. “balloon reduction and cement fixation inintra-articular calcaneal fractures: a percutaneous approach to intra-articularcalcaneal fractures”. Int Orthop, 2011, 35(11): 1743.

Chinese Journal of Reparative and Reconstructive Surgery

APPLICATION PROGRESS OF MINIMALLY INVASIVE TECHNIQUE IN TREATMENT OF CALCANEUS FRACTURES

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