Journal of Foot and Ankle Surgery (Asia Pacific)

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  11 (2024)
Volume  10 (2023)
Volume  9 (2022)
Volume  8 (2021)
Volume  7 (2020)
Volume  6 (2019)
Volume  5 (2018)
Volume  4 (2017)
Volume  3 (2016)
Volume  2 (2015)
Volume  1 (2014)
Related articles

VOLUME 9 , ISSUE 2 ( April-June, 2022 ) > List of Articles

Review Paper

The Emergent Management of Tongue-type Calcaneal Fractures: Technique Tips

Maegan Shields, Richard Buckley, Christopher D Balso, Amir Khoshbin, Aaron Nauth, Timothy Daniels, Mansur Halai

Keywords : Calcaneus, Emergency, Open reduction

Citation Information : Shields M, Buckley R, Balso CD, Khoshbin A, Nauth A, Daniels T, Halai M. The Emergent Management of Tongue-type Calcaneal Fractures: Technique Tips. J Foot Ankle Surg Asia-Pacific 2022; 9 (2):61-66.

DOI: 10.5005/jp-journals-10040-1214

License: CC BY-NC 4.0

Published Online: 01-04-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

The aim of this report is to aid the trauma surgeon with some technique tips to aid with maintaining and obtaining reduction of these complex tongue-type calcaneal fractures. This will be conveyed via two case examples (high and low energy fracture patterns), each requiring different principles of fixation.

HTML PDF Share
  1. Essex-Lopresti P. The mechanism, reduction technique, and results in fractures of the os calcis. Br J Surg 1952;39(157):395–419. DOI: 10.1002/bjs.18003915704
  2. Chhabra N, Sherman SC, Szatkowski JP. Tongue-type calcaneus fractures: a threat to skin. Am J Emerg Med 2013;31(7):1151.e3–1154. DOI: 10.1016/j.ajem.2013.02.029
  3. De Boer AS, Van Lieshout EMM, Van't Land F, et al. Soft tissue complications and timing of surgery in patients with a tongue-type displaced intra-articular calcaneal fracture: an international retrospective cohort study. Injury 2018;49(2):425–429. DOI: 10.1016/j.injury.2017.12.008
  4. Gardner MJ, Nork SE, Barei DP, et al. Secondary soft tissue compromise in tongue-type calcaneus fractures. J Orthop Trauma 2008;22(7):439–445. DOI: 10.1097/BOT.0b013e31817ace7e
  5. Tornetta 3rd P. The Essex-Lopresti reduction for calcaneal fractures revisited. J Orthop Trauma 1998;12(7):469–473. DOI: 10.1097/00005131-199809000-00007
  6. Gougoulias N, Dawe EJC, Sakellariou A. The recovery position for posterior surgery of the ankle and hindfoot. Bone Joint J 2013;95-B(10):1317–1319. DOI: 10.1302/0301-620X.95B10.32527
  7. Sanders R. Intra-articular fractures of the calcaneus: present state of the art. J Orthop Trauma 1992;6(2):252–265. DOI: 10.1097/00005131-199206000-00022.
  8. Rammelt S, Zwipp H. Calcaneus fractures: facts, controversies and recent developments. Injury 2004;35(5):443–461. DOI: 10.1016/j.injury.2003.10.006
  9. Sanders R, Fortin P, DiPasquale T, et al. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res 1993(290):87–95. PMID: 8472475.
  10. Court-Brown CM, Schmied M, Schutte BG. Factors affecting infection after calcaneal fracture fixation. Injury 2009;40(12):1313–1315. DOI: 10.1016/j.injury.2009.03.044
  11. Folk JW, Starr AJ, Early JS. Early wound complications of operative treatment of calcaneus fractures: analysis of 190 fractures. J Orthop Trauma 1999;13(5):369–372. DOI: 10.1097/00005131-199906000-00008
  12. Ho CJ, Huang HT, Chen CH, et al. Open reduction and internal fixation of acute intra-articular displaced calcaneal fractures: a retrospective analysis of surgical timing and infection rates. Injury 2013;44(7):1007–1010. DOI: 10.1016/j.injury.2013.03.014
  13. Kwon JY, Guss D, Lin DE, et al. Effect of delay to definitive surgical fixation on wound complications in the treatment of closed, intra-articular calcaneus fractures. Foot Ankle Int 2015;36(5):508–517. DOI: 10.1177/1071100714565178
  14. Joseph NM, Benedick A, McMellen C, et al. Acute fixation of displaced intra-articular calcaneus fractures is safe using the sinus tarsi approach. J Orthop Trauma 2021;35(6):289–295. DOI: 10.1097/BOT.0000000000002085
  15. Smith WB. The sinus tarsi approach for calcaneal fractures. Tech Foot Ankle 2013;12(3):118–124. DOI: 10.1097/BTF.0b013e31829ffe13
  16. de Vroome SW, van derFoot Ankle Int Linden FM. 2014;35(2):156–162. DOI: 10.1177/1071100713509804
  17. Bai L, Hou YL, Lin GH, et al. Sinus tarsi approach (STA) versus extensile lateral approach (ELA) for treatment of closed displaced intra-articular calcaneal fractures (DIACF): a meta-analysis. Orthop Traumatol Surg Res 2018;104(2):239–244. DOI: 10.1016/j.otsr.2017.12.015
  18. Schepers T. The sinus tarsi approach in displaced intra-articular calcaneal fractures: a systematic review. Int Orthop 2011;35(5):697–703. DOI: 10.1007/s00264-011-1223-9
  19. Seat A, Seat C. Lateral extensile approach versus minimal incision approach for open reduction and internal fixation of displaced intra-articular calcaneal fractures: a meta-analysis. J Foot Ankle Surg 2020;59(2):356–366. DOI: 10.1053/j.jfas.2019.08.007
  20. Busel G, Mir HR, Merimee S, et al. Quality of reduction of displaced intra-articular calcaneal fractures using a sinus tarsi versus extensile lateral approach. J Orthop Trauma 2021;35(6):285–288. DOI: 10.1097/BOT.0000000000001971
  21. 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. DOI: 10.1302/0301-620X.88B12.17379
  22. Golec P, Tomaszewski KA, Nowak S, et al. Radiological results and clinical complications after calcaneal articular fracture surgical treatment using minimally invasive percutaneous fixation. Folia Med Cracov 2017;57(3):15–28. PMID: 29263451.
  23. Hegde A, Mathias LJ, Ballal A, et al. A prospective study on radiological and functional outcome of displaced tongue type intra-articular calcaneal fractures treated by percutaneous screw fixation. J Clin Diagn Res 2016;10(2):RC01-RC04. DOI: 10.7860/JCDR/2016/15611.7179
  24. Pillai A, Basappa P, Ehrendorfer S. Modified Essex-Lopresti/Westheus reduction for displaced intra-articular fractures of the calcaneus. Description of surgical technique and early outcomes. Acta Orthop Belg 2007;73(1):83–87. PMID: 17441663.
  25. 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. DOI: 10.2106/JBJS.H.01834
  26. Tornetta 3rd P. Percutaneous treatment of calcaneal fractures. Clin Orthop Relat Res 2000(375):91–96. DOI: 10.1097/00003086-200006000-00011
  27. Wong-Chung J, O'Longain D, Lynch-Wong M, et al. Irreducible tongue-type calcaneal fracture due to interposition of flexor hallucis longus. Foot (Edinb) 2016;27:1–3. DOI: 10.1016/j.foot.2015.09.005
  28. Carr JB. Complications of calcaneus fractures entrapment of the flexor hallucis longus: report of two cases. J Orthop Trauma 1990;4(2):166–168. DOI: 10.1097/00005131-199004020-00011
  29. Romash MM. Fracture of the calcaneus: an unusual fracture pattern with subtalar joint interposition of the flexor hallucis longus. A report of two cases. Foot Ankle 1992;13(1):32–41. DOI: 10.1177/107110079201300106
  30. Anglen JO, Gehrke J. Irreducible fracture of the calcaneus due to flexor hallucis longus tendon interposition. J Orthop Trauma 1996;10(4):285–288. DOI: 10.1097/00005131-199605000-00010
  31. van der Vliet QMJ, Potter JM, Esselink TA, et al. Open versus closed operative treatment for tongue-type calcaneal fractures: case series and literature review. J Foot Ankle Surg 2020;59(2):264–268. DOI: 10.1053/j.jfas.2019.02.006
  32. 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. DOI: 10.1007/s11999-009-0964-x
  33. Rammelt S, Gavlik JM, Barthel S, et al. The value of subtalar arthroscopy in the management of intra-articular calcaneus fractures. Foot Ankle Int 2002;23(10):906–916. DOI: 10.1177/107110070202301004
  34. Bacaksız T, Kazimoglu C, Reisoglu A, et al. Optimum screw configuration for the fixation of sanders type IIC tongue-type fractures? A biomechanical study. J Am Podiatr Med Assoc 2018;108(1):20–26. DOI: 10.7547/16-140
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.