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Treatment of Fractures of the Os Calcis

Treatment of Fractures of the Os Calcis Abstract No panacea exists for fractures of the os calcis. Many methods of treatment have been proposed because of deficiency in the end-results and because of confusion over classification. Classification of these fractures is simplified by regarding the state of the subastragalar joint as the essence of the pathologic condition. I believe that open reduction, after the method of Palmer, is the treatment of choice for most fractures involving severe displacement in the posterior subastragalar joint or of it. There are numerous methods of treating "smash" fractures of the os calcis. They vary from early mobilization2-4 to excision.13 A summary of the world literature prepared by Widén18 contains 155 references. One reason for this large number of modalities is the end-result: A treatment which works well is soon adopted. A second reason is that older classifications which have been proposed are frequently involved and are not based on References 1. Breck, L. W.: Personal communication to the author. 2. Carothers, R. G., and Lyons, J. F.: Early Mobilization in Treatment of Os Calcis Fractures , Am. J. Surg. 83:279 ( (March) ) 1952.Crossref 3. Day, F. G.: Treatment of Fractures of the Os Calcis , Canad. M. A. J. 63:373 ( (Oct.) ) 1950. 4. Eastwood, W. J.: Fractures of the Os Calcis , Brit. J. Surg. 25:636 ( (Jan.) ) 1938.Crossref 5. Essex-Lopresti, P.: Mechanism, Reduction Technique, and Results in Fractures of the Os Calcis , Brit. J. Surg. 39:395 ( (Nov.) ) 1952.Crossref 6. Ferciot, C. F., to be published. 7. Gallie, W. E.: Subastragalar Arthrodesis in Fractures of the Os Calcis , J. Bone & Joint Surg. 25:731 ( (Oct.) ) 1943. 8. Harris, R. I.: Fractures of the Os Calcis: Their Treatment by Tri-Radiate Traction and Subastragalar Fusion , Ann. Surg. 124:1082 ( (Dec.) ) 1946. 9. Hodges, F. C.: Rational Treatment of Os Calcis Fractures , South. M. J. 45:684 ( (Aug.) ) 1952. 10. Lenormant, C.; Wilmoth, and Lecoeur: A Propos du traitement sanglant des fractures du calcanéum , Bull. et mem. Soc. nat chir. 54:1353 ( (Dec. 15) ) 1928. 11. Leriche, R.: Ostéosynthèse primitive pour fracture par écrasement du calcanéum, à sept fragments , Lyon chir. 19:559, 1922. 12. Palmer, I.: Mechanism and Treatment of Fractures of the Calcaneus: Open Reduction with Use of Cancellous Grafts , J. Bone & Joint Surg. 30-A:2 ( (Jan.) ) 1948. 13. Pridie, K. A.: A New Method of Treatment for Severe Fractures of the Os Calcis , Surg. Gynec. & Obst. 82:671 ( (June) ) 1946. 14. Warrick, C. K., and Bremner, A. E.: Fractures of the Calcaneum, with Atlas Illustrating Various Types of Fracture , J. Bone & Joint Surg. 35-B:33 ( (Feb.) ) 1953. 15. Watson-Jones, R.: Fractures and Joint Injuries , Ed. 4, Baltimore, The Williams & Wilkins Company, 1955. 16. Westhues, H.: Zur Behandlung der Calcaneusfraktur , Zentralbl. Chir. 61:2231, 1934. 17. Whittaker, A. H.: Treatment of Fractures of the Os Calcis by Open Reduction and Internal Fixation , Am. J. Surg. 74:687 ( (Nov.) ) 1947. 18. Widén, A.: Fractures of the Calcaneus: A Clinical Study with Special Reference to Technique and Results of Open Reduction , Acta Chir. scandinav. , (Supp. 188) , 1954. 19. Wilson, G. E.: Fractures of the Calcaneus , J. Bone & Joint Surg. 32-A:59 ( (Jan.) ) 1950. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Treatment of Fractures of the Os Calcis

A.M.A. Archives Surgery , Volume 75 (6) – Dec 1, 1957

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1957.01280180122018
Publisher site
See Article on Publisher Site

Abstract

Abstract No panacea exists for fractures of the os calcis. Many methods of treatment have been proposed because of deficiency in the end-results and because of confusion over classification. Classification of these fractures is simplified by regarding the state of the subastragalar joint as the essence of the pathologic condition. I believe that open reduction, after the method of Palmer, is the treatment of choice for most fractures involving severe displacement in the posterior subastragalar joint or of it. There are numerous methods of treating "smash" fractures of the os calcis. They vary from early mobilization2-4 to excision.13 A summary of the world literature prepared by Widén18 contains 155 references. One reason for this large number of modalities is the end-result: A treatment which works well is soon adopted. A second reason is that older classifications which have been proposed are frequently involved and are not based on References 1. Breck, L. W.: Personal communication to the author. 2. Carothers, R. G., and Lyons, J. F.: Early Mobilization in Treatment of Os Calcis Fractures , Am. J. Surg. 83:279 ( (March) ) 1952.Crossref 3. Day, F. G.: Treatment of Fractures of the Os Calcis , Canad. M. A. J. 63:373 ( (Oct.) ) 1950. 4. Eastwood, W. J.: Fractures of the Os Calcis , Brit. J. Surg. 25:636 ( (Jan.) ) 1938.Crossref 5. Essex-Lopresti, P.: Mechanism, Reduction Technique, and Results in Fractures of the Os Calcis , Brit. J. Surg. 39:395 ( (Nov.) ) 1952.Crossref 6. Ferciot, C. F., to be published. 7. Gallie, W. E.: Subastragalar Arthrodesis in Fractures of the Os Calcis , J. Bone & Joint Surg. 25:731 ( (Oct.) ) 1943. 8. Harris, R. I.: Fractures of the Os Calcis: Their Treatment by Tri-Radiate Traction and Subastragalar Fusion , Ann. Surg. 124:1082 ( (Dec.) ) 1946. 9. Hodges, F. C.: Rational Treatment of Os Calcis Fractures , South. M. J. 45:684 ( (Aug.) ) 1952. 10. Lenormant, C.; Wilmoth, and Lecoeur: A Propos du traitement sanglant des fractures du calcanéum , Bull. et mem. Soc. nat chir. 54:1353 ( (Dec. 15) ) 1928. 11. Leriche, R.: Ostéosynthèse primitive pour fracture par écrasement du calcanéum, à sept fragments , Lyon chir. 19:559, 1922. 12. Palmer, I.: Mechanism and Treatment of Fractures of the Calcaneus: Open Reduction with Use of Cancellous Grafts , J. Bone & Joint Surg. 30-A:2 ( (Jan.) ) 1948. 13. Pridie, K. A.: A New Method of Treatment for Severe Fractures of the Os Calcis , Surg. Gynec. & Obst. 82:671 ( (June) ) 1946. 14. Warrick, C. K., and Bremner, A. E.: Fractures of the Calcaneum, with Atlas Illustrating Various Types of Fracture , J. Bone & Joint Surg. 35-B:33 ( (Feb.) ) 1953. 15. Watson-Jones, R.: Fractures and Joint Injuries , Ed. 4, Baltimore, The Williams & Wilkins Company, 1955. 16. Westhues, H.: Zur Behandlung der Calcaneusfraktur , Zentralbl. Chir. 61:2231, 1934. 17. Whittaker, A. H.: Treatment of Fractures of the Os Calcis by Open Reduction and Internal Fixation , Am. J. Surg. 74:687 ( (Nov.) ) 1947. 18. Widén, A.: Fractures of the Calcaneus: A Clinical Study with Special Reference to Technique and Results of Open Reduction , Acta Chir. scandinav. , (Supp. 188) , 1954. 19. Wilson, G. E.: Fractures of the Calcaneus , J. Bone & Joint Surg. 32-A:59 ( (Jan.) ) 1950.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Dec 1, 1957

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