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CURRENT ISSUEMEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2002 September;26(3):139-46

language: Italian

Personal experience in subtalar artherodesis for calcaneal fractures

Prina P., Salvadori Del Prato G., Franceschini M., Franceschini R.


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Background. The treatment of heel fractures is still. Conservative versus surgical treatment remains a matter of debate, and the type of surgery is a complex issue. Apparently, surgical treatment seems to be the best choice and sometimes X-rays results are quite satisfying. On the other side, many of these excellent X-ray results turn into a poor clinical outcome. In this paper, the authors examine all the conditions heading to the surgical choice of subtalar artrhodesis in cases in which literature suggests to do so.
Methods. In our series, 8 cases out of 20 heel fractures, were treated with subtalar fusion, over a period of two years. All cases were studied preoperatively with X-ray and CT scan.
Results. Preliminary results are encouraging, but a short follow up doesn't allow a definite judgement.
Conclusions. Therefore, the aim of this paper is to analyse the reason of this surgical choice, to review the pertinent concerning literature, the surgical technique, and the personal considerations on pros and cons.

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