Current Concepts about Calcaneal Fracture Management: A Review of Metanalysis and Systematic Reviews

Background: The fracture of the calcaneus is the most common traumatic lesion of the hindfoot and can cause severe disability with social and economic sequelae. Since 1980, an increasing number of studies and new technologies have led to an improvement in the management of calcaneal fractures, but t...

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Bibliographic Details
Published in:	Applied sciences Vol. 13; no. 22; p. 12311
Main Authors:	Leigheb, Massimiliano, Codori, Francesco, Samaila, Elena Manuela, Mazzotti, Antonio, Villafañe, Jorge Hugo, Bosetti, Michela, Ceccarini, Paolo, Cochis, Andrea, Daou, Farah, Ronga, Mario, Grassi, Federico Alberto, Rimondini, Lia
Format:	Journal Article
Language:	English
Published:	Basel MDPI AG 01-11-2023
Subjects:	Analysis calcaneal fracture calcaneus Closed reduction conservative extensile lateral approach (ELA) Innovations Locks and keys Meta-analysis Open fractures operative ORIF Skin & tissue grafts
Online Access:	Get full text
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Summary:	Background: The fracture of the calcaneus is the most common traumatic lesion of the hindfoot and can cause severe disability with social and economic sequelae. Since 1980, an increasing number of studies and new technologies have led to an improvement in the management of calcaneal fractures, but treatment is still controversial. The purpose of this review was to investigate the secondary scientific literature to detect the optimal management of calcaneal fracture. Methods: A MEDLINE search via PubMed was conducted. A total of 4856 articles were identified, and only meta-analyses and systematic reviews were included. Results: 59 articles with more than 10,000 calcaneus fractures were examined, and the results were divided into various topics. Most articles agree on the superiority of surgical treatments compared to conservative ones. Moreover, minimally invasive access to the sinus tarsi showed better results and fewer complications than traditional extended lateral access. Also, reduction and osteosynthesis with percutaneous and/or minimally invasive techniques seem to provide better outcomes when compared to open treatments. Conclusions: The management of calcaneal fractures requires an individualized treatment plan based on the functional demands of the patient, the type of fracture, and associated injuries. New technologies and further studies can lead to an improvement in the management of calcaneal fractures.
ISSN:	2076-3417 2076-3417
DOI:	10.3390/app132212311