Source:http://linkedlifedata.com/resource/pubmed/id/17159178
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
2006-12-12
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pubmed:abstractText |
We describe the results of 287 intra-articular fractures of the calcaneum in 247 patients treated by minimally-invasive reduction and K-wire fixation between 1994 and 2003. There were 210 men (85%) and 37 women (15%). The most common cause of injury was a fall from a height in 237 patients (96%). Fracture classification was based on the method described by Sanders and Essex-Lopresti. All patients were operated on within 21 days of injury and 89% (220) within 48 hours. The reduction was graded as nearly anatomical (less than 2 mm residual articular displacement and satisfactory overall alignment) in 212 (73.9%) fractures. There were 20 cases (7%) of superficial pin-track infection and five (1.7%) of deep infection. All healed at a mean of 6 weeks (3 to 19). Loss of reduction was observed in 13 fractures (4.5%) and a musculocutaneous flap was needed in three (1%). The results were evaluated in 176 patients (205 fractures) with a mean age of 44.3 years (13 to 67), available for follow-up at a mean of 43.4 months (25 to 87) using the Creighton-Nebraska Health Foundation Assessment score. The mean score was 83.9 points (63 to 100). There were 29 (16.5%) excellent, 98 (55.7%) good, 26 (14.8%) fair and 23 (13%) poor results. A total of 130 patients (73.9%) were able to return to their original occupation at a mean of 5.6 months (3.2 to 12.5) after the injury. Semi-open reduction and percutaneous fixation is an effective treatment for displaced intra-articular fractures of the calcaneum.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0301-620X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
88
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1634-41
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pubmed:dateRevised |
2010-11-10
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pubmed:meshHeading |
pubmed-meshheading:17159178-Adolescent,
pubmed-meshheading:17159178-Adult,
pubmed-meshheading:17159178-Aged,
pubmed-meshheading:17159178-Bone Nails,
pubmed-meshheading:17159178-Bone Wires,
pubmed-meshheading:17159178-Calcaneus,
pubmed-meshheading:17159178-Female,
pubmed-meshheading:17159178-Follow-Up Studies,
pubmed-meshheading:17159178-Fracture Fixation, Internal,
pubmed-meshheading:17159178-Fractures, Bone,
pubmed-meshheading:17159178-Humans,
pubmed-meshheading:17159178-Male,
pubmed-meshheading:17159178-Middle Aged,
pubmed-meshheading:17159178-Surgical Procedures, Minimally Invasive,
pubmed-meshheading:17159178-Surgical Wound Infection,
pubmed-meshheading:17159178-Tomography, X-Ray Computed,
pubmed-meshheading:17159178-Treatment Outcome
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pubmed:year |
2006
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pubmed:articleTitle |
Minimally-invasive treatment of intra-articular fractures of the calcaneum.
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pubmed:affiliation |
Spinal Surgery Unit, University Hospital Motol, V, Uvalu 84, Prague, Czech Republic.
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pubmed:publicationType |
Journal Article,
Evaluation Studies
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