A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two cases
Maintaining reduction of a calcaneal tuberosity avulsion fracture is challenged by the powerful force exerted upon the bone fragment by the Achilles tendon. Low-demand, elderly patients with osteoporotic bone usually undergo a low-energy mechanism when this fracture pattern occurs. Likely attributab...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396722000404 |
| _version_ | 1811235985332109312 |
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| author | Ashley Gall, BS Michelle Bramer, MD |
| author_facet | Ashley Gall, BS Michelle Bramer, MD |
| author_sort | Ashley Gall, BS |
| collection | DOAJ |
| description | Maintaining reduction of a calcaneal tuberosity avulsion fracture is challenged by the powerful force exerted upon the bone fragment by the Achilles tendon. Low-demand, elderly patients with osteoporotic bone usually undergo a low-energy mechanism when this fracture pattern occurs. Likely attributable to poor bone quality, the rate of early fixation failure has been documented to be as high as 40%. We present the cases of two 65-year-old female patients who each sustained a calcaneal tuberosity avulsion fracture. Both patients underwent a low-energy mechanism of injury and had a medical history of many comorbidities. The first patient underwent a partial calcaneal ostectomy and tenotomy after failing open reduction internal fixation (ORIF). The second patient primarily underwent a partial calcaneal ostectomy and tenotomy. Postoperatively, after the incision site was fairly healed, both patients could bear weight as tolerated. This method of excision and release may allow for decreased risk of skin compromise and return trips to the operating room for failed ORIF. In low-demand patients with low-energy calcaneal avulsion type fractures and osteoporotic bone, this technique may be the preferred surgical option. |
| first_indexed | 2024-04-12T12:01:31Z |
| format | Article |
| id | doaj.art-8e7d2bea88e84f5ab266a6da5bb28ac8 |
| institution | Directory Open Access Journal |
| issn | 2667-3967 |
| language | English |
| last_indexed | 2024-04-12T12:01:31Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj.art-8e7d2bea88e84f5ab266a6da5bb28ac82022-12-22T03:33:50ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672022-01-0122100182A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two casesAshley Gall, BS0Michelle Bramer, MD1West Virginia University School of Medicine, Address: 1 Medical Center Dr, Morgantown, WV 26505, United States; Corresponding author.Department of Orthopedic Surgery, J.W. Ruby Memorial Hospital, Morgantown, WV, United StatesMaintaining reduction of a calcaneal tuberosity avulsion fracture is challenged by the powerful force exerted upon the bone fragment by the Achilles tendon. Low-demand, elderly patients with osteoporotic bone usually undergo a low-energy mechanism when this fracture pattern occurs. Likely attributable to poor bone quality, the rate of early fixation failure has been documented to be as high as 40%. We present the cases of two 65-year-old female patients who each sustained a calcaneal tuberosity avulsion fracture. Both patients underwent a low-energy mechanism of injury and had a medical history of many comorbidities. The first patient underwent a partial calcaneal ostectomy and tenotomy after failing open reduction internal fixation (ORIF). The second patient primarily underwent a partial calcaneal ostectomy and tenotomy. Postoperatively, after the incision site was fairly healed, both patients could bear weight as tolerated. This method of excision and release may allow for decreased risk of skin compromise and return trips to the operating room for failed ORIF. In low-demand patients with low-energy calcaneal avulsion type fractures and osteoporotic bone, this technique may be the preferred surgical option.http://www.sciencedirect.com/science/article/pii/S2667396722000404Low-energyCalcaneusAchilles tendon |
| spellingShingle | Ashley Gall, BS Michelle Bramer, MD A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two cases Foot & Ankle Surgery: Techniques, Reports & Cases Low-energy Calcaneus Achilles tendon |
| title | A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two cases |
| title_full | A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two cases |
| title_fullStr | A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two cases |
| title_full_unstemmed | A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two cases |
| title_short | A novel approach to low-energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality: A report of two cases |
| title_sort | novel approach to low energy calcaneal tuberosity avulsion fractures in patients with fragile bone quality a report of two cases |
| topic | Low-energy Calcaneus Achilles tendon |
| url | http://www.sciencedirect.com/science/article/pii/S2667396722000404 |
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