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[PMID]:29413780
[Au] Autor:D'Souza LG; Mohamed KMS; Fenelon C; Galbraith JG
[Ad] Endereço:Department of Orthopaedic Surgery, University Hospital Limerick, Limerick, Ireland. Electronic address: lgdsouza7@hotmail.com.
[Ti] Título:Response to 'Obtaining Local Bone graft for Evans Calcaneal Osteotomy: Think twice'.
[So] Source:Foot Ankle Surg;24(1):77, 2018 02.
[Is] ISSN:1460-9584
[Cp] País de publicação:France
[La] Idioma:eng
[Mh] Termos MeSH primário: Transplante Ósseo
Osteotomia
[Mh] Termos MeSH secundário: Calcâneo/cirurgia
Pé Chato/cirurgia
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE


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[PMID]:29413779
[Au] Autor:Karslioglu B; Tekin AC
[Ad] Endereço:Okmeydani Training and Research Hospital Department of Orthopedics and Traumatology, Turkey. Electronic address: bukars@gmail.com.
[Ti] Título:Obtaining local bone graft for Evans calcaneal osteotomy: Think twice.
[So] Source:Foot Ankle Surg;24(1):76, 2018 02.
[Is] ISSN:1460-9584
[Cp] País de publicação:France
[La] Idioma:eng
[Mh] Termos MeSH primário: Transplante Ósseo
Osteotomia
[Mh] Termos MeSH secundário: Calcâneo/cirurgia
Pé Chato/cirurgia
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE


  3 / 5946 MEDLINE  
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[PMID]:29443774
[Au] Autor:Yue Z; Tang Y; Hu Z; Zheng W
[Ad] Endereço:Department of Orthopedics, Xiaoshan Traditional Chinese Medical Hospital, Hangzhou, Zhejiang, P.R. China.
[Ti] Título:Sanders type IIIAB calcaneal fracture without broken lateral wall: A case report and review of literature.
[So] Source:Medicine (Baltimore);97(7):e9926, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: The calcaneal fracture without broken lateral wall is rare and the open anatomic reduction and internal fixation (ORIF) is necessary when the subtalar joint articular surface is broken and collapsed. PATIENT CONCERNS: A 45-year-old male was admitted to our department with complaints of heel pain and swelling after falling down from 1-m-high stone. He was unable to bear weight on his right foot. DIAGNOSES: Imaging studies confirmed that it was a sanders type IIIAB calcaneal fracture without broken lateral wall and the middle part of the posterior calcaneal articular facet collapsed. INTERVENTIONS: ORIF of intraarticular calcaneal fracture with the locking calcaneal plate was performed. OUTCOMES: The patient recovered completely after 16 weeks and was able to participate in his usual work. LESSONS: Based on this case and literature we reviewed, computed tomography scan (CT scan) should be used to diagnose and evaluate the severity of calcaneal fractures. Currently, ORIF was the preferred surgical treatment option when dealing with displaced intraarticular calcaneal fractures.
[Mh] Termos MeSH primário: Calcâneo/lesões
Calcâneo/cirurgia
Fixação Interna de Fraturas
Fraturas Ósseas/diagnóstico por imagem
Fraturas Ósseas/cirurgia
Redução Aberta
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009926


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[PMID]:28467569
[Au] Autor:Kuran B; Aydog T; Erçalik C; Arda P; Yilmaz F; Dogu B; Öncü J; Durlanik G
[Ad] Endereço:Deparmemt of Physiotherapy and Rehabilitation, Istanbul Yeni Yuzyil University Faculty of Health Sciences, Istanbul, Turkey. banukuran@gmail.com.
[Ti] Título:Medial calcaneal neuropathy: A rare cause of prolonged heel pain.
[So] Source:Agri;29(1):43-46, 2017 Jan.
[Is] ISSN:1300-0012
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain. Diagnosis should be reconsidered following conservative therapy.
[Mh] Termos MeSH primário: Fasciíte Plantar/diagnóstico
Calcanhar
Síndrome do Túnel do Tarso/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Calcâneo/inervação
Diagnóstico Diferencial
Fasciíte Plantar/complicações
Fasciíte Plantar/diagnóstico por imagem
Fasciíte Plantar/reabilitação
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Dor Intratável/etiologia
Modalidades de Fisioterapia
Síndrome do Túnel do Tarso/complicações
Síndrome do Túnel do Tarso/diagnóstico por imagem
Síndrome do Túnel do Tarso/reabilitação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/agri.2015.13540


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[PMID]:28458187
[Au] Autor:Riedl M; Glisson RR; Matsumoto T; Hofstaetter SG; Easley ME
[Ad] Endereço:Wilhelminen Hospital, Department of Trauma Surgery, Montleartstraße 37, 1160 Wien, Austria. Electronic address: markus.riedl@wienkav.at.
[Ti] Título:Torsional stiffness after subtalar arthrodesis using second generation headless compression screws: Biomechanical comparison of 2-screw and 3-screw fixation.
[So] Source:Clin Biomech (Bristol, Avon);45:32-37, 2017 Jun.
[Is] ISSN:1879-1271
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Subtalar joint arthrodesis is a common operative treatment for symptomatic subtalar arthrosis. Because excessive relative motion between the talus and calcaneus can delay or prohibit fusion, fixation should be optimized, particularly in patients at risk for subtalar arthrodesis nonunion. Tapered, fully-threaded, variable pitch screws are gaining popularity for this application, but the mechanical properties of joints fixed with these screws have not been characterized completely. We quantified the torsion resistance of 2-screw and 3-screw subtalar joint fixation using this type of screw. METHODS: Ten pairs of cadaveric subtalar joints were prepared for arthrodesis and fixed using Acutrak 2-7.5 screws. One specimen from each pair was fixed with two diverging posterior screws, and the contralateral joint was fixed using two posterior screws and a third screw directed through the anterior calcaneus into the talar neck. Internal and external torsional loads were applied and joint rotation and torsional stiffness were measured at two torque levels. FINDINGS: Internal rotation was significantly less in specimens fixed with three screws. No difference was detectable between 2-screw and 3-screw fixation in external rotation or torsional stiffness in either rotation direction. Both 2-screw and 3-screw fixation exhibited torsion resistance surpassing that reported previously for subtalar joints fixed with two diverging conventional lag screws. INTERPRETATION: Performance of the tapered, fully threaded, variable pitch screws exceeded that of conventional lag screws regardless of whether two or three screws were used. Additional resistance to internal rotation afforded by a third screw placed anteriorly may offer some advantage in patients at risk for nonunion.
[Mh] Termos MeSH primário: Artrodese
Parafusos Ósseos
Articulação Talocalcânea
[Mh] Termos MeSH secundário: Adulto
Idoso
Fenômenos Biomecânicos
Cadáver
Calcâneo/cirurgia
Desenho de Equipamento
Feminino
Seres Humanos
Masculino
Meia-Idade
Rotação
Tálus
Torque
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:27773602
[Au] Autor:Gibbons L; Cunningham P
[Ad] Endereço:Our Lady's Hospital, Navan, Ireland; School of Nursing, Midwifery and Health Systems, University College Dublin (UCD), Dublin, Ireland. Electronic address: lynda.gibbons@hse.ie.
[Ti] Título:Anterior process of the Calcaneum - Not to be missed.
[So] Source:Int Emerg Nurs;30:36-40, 2017 Jan.
[Is] ISSN:1878-013X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Calcâneo/lesões
Fraturas Ósseas/enfermagem
Fraturas Ósseas/terapia
[Mh] Termos MeSH secundário: Acidentes por Quedas
Adulto
Calcâneo/anormalidades
Diagnóstico Tardio
Feminino
Fraturas Ósseas/diagnóstico por imagem
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29245290
[Au] Autor:Wei N; Yuwen P; Liu W; Zhu Y; Chang W; Feng C; Chen W
[Ad] Endereço:Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
[Ti] Título:Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures: A meta-analysis of current evidence base.
[So] Source:Medicine (Baltimore);96(49):e9027, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The relative efficacy of operative and nonoperative treatments for the displaced intra-articular calcaneal fractures (DIACF) remains uncertain. OBJECT: We conducted a meta-analysis to compare the effectiveness of operative and nonoperative treatments in treating patients with DIACF. METHODS: Databases including Cochrane Library, Medline, Embase, CBM, CNKI, and Google Scholar were searched. After independent study selection by 2 authors, data were extracted and collected independently. Comparisons were performed between operative treatment group and nonoperative treatment group. The quality of included studies was assessed using the Newcastle-Ottawa Scale. RevMan 5.3 was used for data analysis. The primary outcome measures were anatomical measures (changes in Böhler angle and calcaneal height and width), functional measures (shoe problems, resuming preinjury work, and residual pain), and complications (including superficial and deep wound infection, skin flap necrosis, neurovascular injury, secondary arthrodesis, reflex sympathetic dystrophy, osteotomy, thromboembolism, and compartment syndromes). RESULTS: Eighteen trials (8 randomized controlled trials and 10 controlled clinical trials) including 1467 patients were considered. For anatomical measurements, the overall mean differences (MDs) for the mean Böhler angle, calcaneal height and width were 15.39 (95% confidence interval [CI] 9.12-21.67), 6.55 (95% CI 2.67-10.43), and 7.05 (95% CI -7.83 to -6.27), respectively. In functional measures, the overall effect MD of American Orthopedic Foot and Ankle Society was 6.23 (95% CI 5.22-17.67) and 0.38 (95% CI 0.22-0.67). The overall relative risks (RRs) of wearing shoes, resuming preinjury work, and having residual pain were 0.32 (95% CI 0.32-1.00), 0.56 (95% CI 0.40-0.77), and 0.90 (95% CI 0.68-1.20), respectively. The overall RR of the incidence of complications was 2.00 (95% CI 1.51-2.64). CONCLUSION: Operative treatment of DIACF may lead to a higher incidence of complications but has better anatomical recovery when compared with nonoperative treatment.
[Mh] Termos MeSH primário: Calcâneo/lesões
Fraturas Intra-Articulares/terapia
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Ensaios Clínicos como Assunto
Seres Humanos
Fraturas Intra-Articulares/cirurgia
Dor/epidemiologia
Retorno ao Trabalho/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009027


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[PMID]:29220384
[Au] Autor:Ha AS; Ng JYY
[Ad] Endereço:Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, Hong Kong.
[Ti] Título:Rope skipping increases bone mineral density at calcanei of pubertal girls in Hong Kong: A quasi-experimental investigation.
[So] Source:PLoS One;12(12):e0189085, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Bone mineral accrual during puberty is important, especially in girls, because it is related to reduced risks of osteoporosis in adulthood. Previous research has shown that jumping or plyometric exercises may be effective in increasing bone mineral density in adolescents. Rope skipping is a form of activity that involves jumping, thus regular skipping may also increase bone mineral density in pubertal girls. To this end, we conducted a quasi-experimental to examine the effects of rope skipping on girls' bone mineral density and cardiovascular fitness. 176 Hong Kong girls (age = 12.23 ± 1.80 years at baseline) were recruited to take part in the study. Bone density at their forearms and calcanei were measured twice over two academic years (mean time between visits was 10.3 months). Using multilevel modeling analyses and adjusting for participants' height and physical activity, we found that girls who participated in weekly rope skipping activities, compared to those who did not, had higher levels of bone density at the calcanei (B = 0.023, p < .01). However, no differences were found for bone density at forearms or participants' cardiovascular fitness. The rates of change of these variables across time were also not significantly different. Results suggest that regular rope skipping may increase girls' bone density at the lower extremities, irrespective of the amount of self-report physical activity. However, further research is required to examine the potential dose-response relation between skipping behaviors and the measured outcomes.
[Mh] Termos MeSH primário: Densidade Óssea
Calcâneo/diagnóstico por imagem
Exercício
Puberdade
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Hong Kong
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189085


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[PMID]:29182119
[Au] Autor:Lu D; Zhu SY; Yang J; Chen H; Sun LJ
[Ti] Título:IA comparison of two minimally invasive procedures for intra-articular displaced calcaneal fractures in older children.
[So] Source:Acta Orthop Belg;82(4):779-786, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to compare the clinical outcomes of displaced intra-articular calcaneal fractures in older children treated with poking reduction and cannulated screws fixation or with plate fixation using a sinus tarsi approach. From June 2008 to May 2012, fifty patients were randomised to operative stabilisation either by poking reduction and cannulated screws fixation (Group A, 28) or by plates fixation using a sinus tarsi approach (Group B, 22). The two groups were comparable with respect to age, gender, BMI, the affected side, cause of injury, fracture type, time from injury to surgery and follow-up time. We collected data on operative time and radiation time, length of hospitalization, hospital costs, union time, full weight-bearing time, full physical activity time and complications and measured joint function using the American Orthopaedic Foot and Ankle surgery (AOFAS) score. The average follow-up time of Group A was 36.5±9.3 months and 40.2±10.6 months in Group B. No significant difference between these two groups was found in radiation time, average length of hospitalization, union time, full weight-bearing time, full physical activity time and the average AOFAS score. However, the patients of Group B had longer operation time (38.0±10.6 min vs. 66.5±9.4 min, P<0.05) and more hospital costs (6200±800 RMB vs. 15000±2000 RMB, P<0.05). The average Bohler's angle and Gissane's angle preoperative were 10.9±5.3 and 141.3±12.1 in Group A, and became 31.2±5.1 and 128.5±5.4 after operation. The average Bohler's angle and Gissane's angle preoperative in Group B were 11.7±4.0 and 138.8±16.2, respectively, and they became 30.9±5.2 and 124.6±6.8 after operation. Bohler's angle and Gissane's angle were significantly restored after surgery (P<0.05). Postoperative incision pain was more frequent in Group B than in Group A (P<0.05). Our results indicated that both cannulated screws and plates were efficient methods for intra-articular calcaneal fractures in older children. However, poking reduction and cannulated screws fixation had the advantages of a shorter operative time, fewer hospital costs and less incision pain.
[Mh] Termos MeSH primário: Placas Ósseas
Parafusos Ósseos
Calcâneo/lesões
Fixação Interna de Fraturas/métodos
Fraturas Ósseas/cirurgia
Fraturas Intra-Articulares/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
[Mh] Termos MeSH secundário: Calcâneo/diagnóstico por imagem
Calcâneo/cirurgia
Criança
Feminino
Seguimentos
Seres Humanos
Fraturas Intra-Articulares/diagnóstico por imagem
Masculino
Complicações Pós-Operatórias/epidemiologia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  10 / 5946 MEDLINE  
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[PMID]:29095273
[Au] Autor:Su J; Cao X
[Ad] Endereço:Department of Orthopedic Surgery, The General Hospital of Jinan Military Command, Ji'nan, Shandong, People's Republic of China.
[Ti] Título:Risk factors of wound infection after open reduction and internal fixation of calcaneal fractures.
[So] Source:Medicine (Baltimore);96(44):e8411, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to investigate the risk factors of wound infection after open reduction and internal fixation of calcaneal fractures.In all, 299 patients with 318 calcaneal fractures who underwent open reduction and internal fixation by a single surgeon were grouped according to different outcomes. We gathered the data on each patient including sex, age, injury mechanism, body mass index (BMI), time to operation, fracture type, associated injuries, treatment course, tourniquet time, blood loss, bone graft (yes or no), diabetes (yes or no), smoking history, and complications. Univariate analysis and multivariable analysis were used to determine the association between risk factors and wound infection.Patients who met the entry criteria included 267 males and 32 females with a mean age of 38.6 years. Among them, 5.3% (n = 17) suffered wound infection, and all of the wounds healed after different treatments. According to the univariate analysis, the patients who developed wound infections were active smokers, more obese (higher BMI), had a longer time from injury to operation, and longer tourniquet time. Multivariate analysis indicated that a higher BMI, delayed operation, and active smoking were independent risk factors for wound infection after open reduction and internal fixation of calcaneal fractures.Patients with calcaneal fractures who were smokers and had a higher BMI had a high risk of wound infections. We suggested that surgeons wait to operate until swellings of the injured foot improved, and we also suggested the operation should be within 14 days after the injury.
[Mh] Termos MeSH primário: Calcâneo/lesões
Fixação Interna de Fraturas/efeitos adversos
Fraturas Ósseas/cirurgia
Redução Aberta/efeitos adversos
Infecção da Ferida Cirúrgica/etiologia
[Mh] Termos MeSH secundário: Adulto
Índice de Massa Corporal
Calcâneo/cirurgia
Feminino
Fixação Interna de Fraturas/métodos
Seres Humanos
Masculino
Análise Multivariada
Obesidade/complicações
Redução Aberta/métodos
Estudos Retrospectivos
Fatores de Risco
Fumar/efeitos adversos
Infecção da Ferida Cirúrgica/epidemiologia
Fatores de Tempo
Tempo para o Tratamento
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008411



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