BONE AND JOINT DEFORMITIES - SCIENTIFIC PAPERS  100° CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPAEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Pavia, June 20-21, 2003 

Minerva Ortopedica e Traumatologica 2003 June;54(3):198-202

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: Italian

Thalamic fractures of the calcaneus: treatment with minimum synthesis and carbonate apatite

Lanza F. ¹, Rosa A. ², De Luca A. ¹, Ameri C. ¹

¹ Unità Operativa Ortopedia e Traumatologia, Dipartimento di Ortopedia, Azienda Ospedaliera Santa Corona, Pietra Ligure (SV) 2 Unità Operativa Radiologia, Dipartimento di Scienze Diagnostiche ed Alte Tecnologie, Azienda Ospedaliera Santa Corona, Pietra Ligure (SV)

Ten thalamic calcaneus fractures (9 male, 1 female; average age 54) treated in the period 1999/2000 are considered. C.T. study was used to best classify and typify fractures in view of surgery. Surgical reduction was then carried out with percutaneous K. wires, filling of the bone vacuum with carbonate apatite (Norian SRS), immobilisation for 1 month, resumption of loading 45 days after removal of the wires. The patients were monitored clinically and radiographically after not less than 24 months. The results were: excellent 0; good 7; fair 2; poor 1. The results are considered satisfactory even though follow-up is still fairly early. The Norian system was found to be well tolerated biologically and mechanically but only partial reabsorption permitted an early resumption of loading. C.T (axial and 2D) proved to be the most reliable diagnostic investigation for preoperative planning and for assessing postoperative reconstruction.