Nailing of the calcaneal bone C-NAIL
Authors:
Martin Pompach 1; Martin Carda 1; Luboš Žilka 2; Michael Amlang 3; Hans Zwipp 3
Authors place of work:
Department of traumatology, Pardubice, Hospital of region Pardubice
1; Úrazová chirurgie, Nemocnice pardubického kraje, a. s., Pardubická nemocnice
1; MEDIN a. s., Nové Město na Moravě
2; Medin, a. s., Nové Město na Moravě
2; Department of traumatology, University Hospital of Carl Gustav Carus, Dresden, Germany
3; Úrazová a rekonstrukční chirurgie, Univerzitní klinika, Carl Gustav Carus, Drážďany, Německo
3
Published in the journal:
Úraz chir. 23., 2015, č.2
Summary
Introduction:
The authors present the results of calcaneal fracture treatment using a new method with the calcaneal nail (C-NAIL).
Aim:
The aim is to evaluate the results of calcaneal fracture treatment using a new method with the C-NAIL and compare them with the results of calcaneal fracture treatment using other implants.
Material and methods:
At the Department of Traumatology Surgery in Pardubice Hospital, the authors performed a total of 107 calcaneal fracture surgeries over a period of 3 years using a new minimally invasive method – C-NAIL. The internationally accepted AOFAS (American Orthopaedic Foot and Ankle Society) scoring scheme was used to evaluate the performance results.
Results:
The authors evaluated the AOFAS score six months and one year after the patient’s surgery. The measured values ranged from 65-100 points, with an average of 93.0 after 6 months and 94.1 at 12 months after the surgery. They evaluated the restoration of the crossing Böhler angle in the traumatic values of 6.2° to 31.8°. After 3 months, the Böhler angle slightly decreased to 29.6° and after 12 months, to 28.3°. They recorded 2 cases of wound edge necrosis (1.9%) and one case of deep infection (0.93%).
Conclusion:
C-NAIL enables mini-invasive reposition of the articular surface and high biomechanical stability of calcaneal fractures with a significantly low incidence of complications.
Key words:
Calcaneal nail, C-NAIL, calcaneal fractur.
Zdroje
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7. RAMMELT, S., GAVLIK, JM., BARHEL, S. et al. The value of subtalar arthroscopy in the management of intra-articular calcaneus fractures. Foot Ankle Int. 2002, 23, 906–916.
8. ZWIPP, H., RAMMELT, S. Subtalare Arthrodese mit Calcaneus-Osteotomie. Orthopäde. 2006, 35, 387–404.
9. ZWIPP, H., RAMMELT, S., AMLANG, M. et al. Osteosynthese dislozierter intraartikulärer Kalkaneusfrakturen. Operative Orthopädie und Traumatologie. 2013, 11–13.
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Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
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