The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body
Objective: The aim of this study was to develop a new calcaneal fracture classification system which will consider sustentacular fragment configuration and relation of posterior calcaneal facet to calcaneal body. Methods: The new classification system used sustentacular fragment configuration and re...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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AVES
2016-10-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X16301146 |
| _version_ | 1797912608095862784 |
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| author | Thossart Harnroongroj Thos Harnroongroj Thongchai Suntharapa Marut Arunakul |
| author_facet | Thossart Harnroongroj Thos Harnroongroj Thongchai Suntharapa Marut Arunakul |
| author_sort | Thossart Harnroongroj |
| collection | DOAJ |
| description | Objective: The aim of this study was to develop a new calcaneal fracture classification system which will consider sustentacular fragment configuration and relation of posterior calcaneal facet to calcaneal body. Methods: The new classification system used sustentacular fragment configuration and relation of posterior calcaneal facet fracture with fracture components of calcaneal body as key aspects of main types and subtypes. Between 2000 and 2014, 126 intraarticular calcaneal fractures were classified according to the new classification system by using computed tomography images. The new classification system was studied in term of reliability, correlation to choices of treatment, implant fixation and quality of fracture reduction. Results: Types of sustentacular fragment comprised type A, B and C. Type A sustentacular fragment included sustentacular tali containing middle calcaneal facet. In Type B and C fractures sustentacular fragment included medial aspect and entire posterior calcaneal facet as a single unit, respectively. The fractures with type A, B and C sustentacular fragments were classified as main type A, B and C intra-articular calcaneal fractures. The main type A and B comprised 4 subtypes. Subtypes A1, A3, B1, and B3 associated with avulsion and bending fragments of calcaneal body. Subtype A2, B2, and B4 associated with burst calcaneal body. Subtype B4 was not found in the study. Main type C had no subtype and associated with burst calcaneal body. The data showed good reliability. Conclusion: The study showed that our new intra-articular calcaneal fracture classification system correlates to choices of treatment, implant fixation and quality of fracture reduction.Level of Evidence: Level IV, Study of Diagnostic Test Keywords: Intra-articular calcaneal fracture, Classification system, Sustentacular fragment, Posterior calcaneal facet fracture, Choices of treatment, Quality of fracture reduction |
| first_indexed | 2024-04-10T11:58:34Z |
| format | Article |
| id | doaj.art-d03c48e9d7bf40909a984019892e8d62 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T11:58:34Z |
| publishDate | 2016-10-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-d03c48e9d7bf40909a984019892e8d622023-02-15T16:16:43ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2016-10-01505519526The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal bodyThossart Harnroongroj0Thos Harnroongroj1Thongchai Suntharapa2Marut Arunakul3Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkoknoi, Bangkok, Thailand; Corresponding author.Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkoknoi, Bangkok, ThailandFaculty of Medicine, Thammasat University, ThailandFaculty of Medicine, Thammasat University, ThailandObjective: The aim of this study was to develop a new calcaneal fracture classification system which will consider sustentacular fragment configuration and relation of posterior calcaneal facet to calcaneal body. Methods: The new classification system used sustentacular fragment configuration and relation of posterior calcaneal facet fracture with fracture components of calcaneal body as key aspects of main types and subtypes. Between 2000 and 2014, 126 intraarticular calcaneal fractures were classified according to the new classification system by using computed tomography images. The new classification system was studied in term of reliability, correlation to choices of treatment, implant fixation and quality of fracture reduction. Results: Types of sustentacular fragment comprised type A, B and C. Type A sustentacular fragment included sustentacular tali containing middle calcaneal facet. In Type B and C fractures sustentacular fragment included medial aspect and entire posterior calcaneal facet as a single unit, respectively. The fractures with type A, B and C sustentacular fragments were classified as main type A, B and C intra-articular calcaneal fractures. The main type A and B comprised 4 subtypes. Subtypes A1, A3, B1, and B3 associated with avulsion and bending fragments of calcaneal body. Subtype A2, B2, and B4 associated with burst calcaneal body. Subtype B4 was not found in the study. Main type C had no subtype and associated with burst calcaneal body. The data showed good reliability. Conclusion: The study showed that our new intra-articular calcaneal fracture classification system correlates to choices of treatment, implant fixation and quality of fracture reduction.Level of Evidence: Level IV, Study of Diagnostic Test Keywords: Intra-articular calcaneal fracture, Classification system, Sustentacular fragment, Posterior calcaneal facet fracture, Choices of treatment, Quality of fracture reductionhttp://www.sciencedirect.com/science/article/pii/S1017995X16301146 |
| spellingShingle | Thossart Harnroongroj Thos Harnroongroj Thongchai Suntharapa Marut Arunakul The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body Acta Orthopaedica et Traumatologica Turcica |
| title | The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body |
| title_full | The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body |
| title_fullStr | The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body |
| title_full_unstemmed | The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body |
| title_short | The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body |
| title_sort | new intra articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X16301146 |
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