Zheng G, Xia F, Yang S, Cui J. Application of medial column classification in treatment of intra-articular calcaneal fractures. World J Clin Cases 2020; 8(19): 4400-4409 [PMID: 33083399 DOI: 10.12998/wjcc.v8.i19.4400]
Corresponding Author of This Article
Jun Cui, MD, Associate Chief Physician, Department of Foot and Ankle Surgery, Central Hospital Affiliated to Shenyang Medical College, No. 5 Nanqi West Road, Tiexi District, Shenyang 110024, Liaoning Province, China. 925791667@qq.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2020; 8(19): 4400-4409 Published online Oct 6, 2020. doi: 10.12998/wjcc.v8.i19.4400
Application of medial column classification in treatment of intra-articular calcaneal fractures
Gang Zheng, Fan Xia, Shuang Yang, Jun Cui
Gang Zheng, Fan Xia, Shuang Yang, Jun Cui, Department of Foot and Ankle Surgery, Central Hospital Affiliated to Shenyang Medical College, Shenyang 110024, Liaoning Province, China
Author contributions: Zheng G designed and performed the research and wrote the paper; Cui J designed the research and supervised the report; Yang S designed the research and contributed to the analysis; Xia F supervised the report.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Central Hospital Affiliated to Shenyang Medical College.
Informed consent statement: The analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jun Cui, MD, Associate Chief Physician, Department of Foot and Ankle Surgery, Central Hospital Affiliated to Shenyang Medical College, No. 5 Nanqi West Road, Tiexi District, Shenyang 110024, Liaoning Province, China. 925791667@qq.com
Received: May 6, 2020 Peer-review started: May 6, 2020 First decision: May 21, 2020 Revised: June 3, 2020 Accepted: August 26, 2020 Article in press: August 26, 2020 Published online: October 6, 2020
ARTICLE HIGHLIGHTS
Research background
The Sanders computed tomography classification of calcaneal fractures cannot guide the surgical treatment.
Research motivation
We tried to study a new classification to guide the surgical treatment of calcaneal fractures.
Research objectives
In this study, we aimed to explore the application and clinical efficacy of medial column classification in the treatment of intra-articular calcaneal fractures.
Research methods
We divided intra-articular calcaneal fractures into two types: Medial column displacement (shortened varus) and nondisplacement. There were 53 cases of medial column displacement, and the L-lateral incision of the calcaneus was used. First, the main fracture line was released, the posterior nodule and the sustentaculum tali bone block were reset to restore the medial wall (column), and then the articular surface was restored.
Research results
The incidence of tarsal sinus incision failure in this type of calcaneal fracture is high. There were 38 cases of medial column nondisplacement, and the tarsal sinus incision was used. Satisfactory results were obtained.
Research conclusions
Medial column classification can effectively guide the surgical selection of intra-articular fractures of the calcaneus.
Research perspectives
We will accumulate additional cases, improve the controlled study, and continue to follow the patients to obtain relatively scientific conclusions.
