Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis Fractures

Who deserves surgery and is nonoperative, care still reasonable in this decade? And what type of surgery? Full open approach through an extended lateral incision or limited incision surgery with a lower complication rate? Can we get the reduction of the posterior facet through small incision surgery...

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Main Author: Richard Buckley
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2022-04-01
Series:Journal of Foot and Ankle Surgery (Asia Pacific)
Subjects:
Online Access:https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1210
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author Richard Buckley
author_facet Richard Buckley
author_sort Richard Buckley
collection DOAJ
description Who deserves surgery and is nonoperative, care still reasonable in this decade? And what type of surgery? Full open approach through an extended lateral incision or limited incision surgery with a lower complication rate? Can we get the reduction of the posterior facet through small incision surgery, or must we use the larger more invasive extended lateral approach to ensure that the joint is truly reduced? And what about the Sanders type 4 patient—when is primary fusion the best option for such a fracture? These questions are much closer to being fully answered now with good randomized controlled trials and careful attention to some specific problems like wound issues and foot shape—that are only present in this very special fracture.
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spelling doaj-art-875e57c31dab4f23b9d338e985aeedb22025-08-20T03:18:19ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052022-04-0192535510.5005/jp-journals-10040-12102Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis FracturesRichard Buckley0Richard Buckley, Department of Surgery, University of Calgary, Calgary, Alberta, Canada, Phone: + 4036307741Who deserves surgery and is nonoperative, care still reasonable in this decade? And what type of surgery? Full open approach through an extended lateral incision or limited incision surgery with a lower complication rate? Can we get the reduction of the posterior facet through small incision surgery, or must we use the larger more invasive extended lateral approach to ensure that the joint is truly reduced? And what about the Sanders type 4 patient—when is primary fusion the best option for such a fracture? These questions are much closer to being fully answered now with good randomized controlled trials and careful attention to some specific problems like wound issues and foot shape—that are only present in this very special fracture.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1210best evidencenonoperativeos calcissurgery
spellingShingle Richard Buckley
Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis Fractures
Journal of Foot and Ankle Surgery (Asia Pacific)
best evidence
nonoperative
os calcis
surgery
title Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis Fractures
title_full Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis Fractures
title_fullStr Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis Fractures
title_full_unstemmed Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis Fractures
title_short Best Evidence and Indications for Surgery with Different Types of Displaced Os Calcis Fractures
title_sort best evidence and indications for surgery with different types of displaced os calcis fractures
topic best evidence
nonoperative
os calcis
surgery
url https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1210
work_keys_str_mv AT richardbuckley bestevidenceandindicationsforsurgerywithdifferenttypesofdisplacedoscalcisfractures