ABSTRACT
OBJECTIVE: Open treatment of calcaneus fractures often has an increased risk of wound healing. Minimally invasive treatment with small incisions reduces complications. INDICATIONS: Calcaneal fractures with malalignment/comminution >1-2 mm; broadening, varus alignment of the calcaneal length axis or shortening; emergency surgery for open fractures or compartment syndrome. CONTRAINDICATIONS: Local or general contraindications. SURGICAL TECHNIQUE: Standardised positioning; restoration of length/axis with 2point distractor under fluoroscopic control. Fragment reduction via small incisions. Fixation with 7.3 mm cannulated screws and 4.0 mm sustentaculum screws. POSTOPERATIVE MANAGEMENT: Cast-free and no weight bearing for 6 weeks; then weight bearing in a heel off-loading shoe for another 6 weeks with physiotherapy; if needed postoperative cast until soft tissue consolidation. RESULTS: Of 212 calcaneal fractures, 182 were treated with this technique. Wound healing complication rate was 2.7%; 4.7% of patients required secondary arthrodesis of the subtalar joint.
Subject(s)
Ankle Fractures/rehabilitation , Ankle Fractures/surgery , Calcaneus/injuries , Calcaneus/surgery , Fracture Fixation, Internal/instrumentation , Minimally Invasive Surgical Procedures/instrumentation , Ankle Fractures/diagnostic imaging , Equipment Design , Equipment Failure Analysis , Female , Fracture Fixation, Internal/methods , Fracture Fixation, Internal/rehabilitation , Humans , Male , Minimally Invasive Surgical Procedures/methods , Retrospective Studies , Surgery, Computer-Assisted/instrumentation , Surgery, Computer-Assisted/methods , Surgery, Computer-Assisted/rehabilitation , Treatment OutcomeABSTRACT
The trauma registry of the DGU was founded in 1992 with the objective of collecting data on severely injured patients. The purpose of this registry, in which Austrian trauma units have taken part since 1998, is to answer questions related to the field of trauma management. Using the example of the Linz Trauma Center (UKH Linz), which has actively participated since 2012, the authors would like to share their experiences of collecting data in order to motivate other departments to participate in the trauma registry. We would like to make suggestions regarding implementation methods for high-quality data acquisition.However, the availability of essential human resources must be guaranteed, since the recording of data from severely injured patients sometimes takes 60-90 min. Additionally, an automatic data acquisition method is currently unavailable for technical reasons.
