Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

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

Massimiliano Leigheb
* ORCID logo ,
Francesco Codori
,
Elena Manuela Samaila
ORCID logo ,
Antonio Mazzotti
ORCID logo ,
Jorge Hugo Villafañe
ORCID logo ,
Michela Bosetti
ORCID logo ,
Paolo Ceccarini
,
Andrea Cochis
,
Farah Daou
ORCID logo ,
Mario Ronga
,
Federico Grassi
,
Lia Rimondini
Version 1 : Received: 9 August 2023 / Approved: 10 August 2023 / Online: 10 August 2023 (04:39:50 CEST)

A peer-reviewed article of this Preprint also exists.

Leigheb, M.; Codori, F.; Samaila, E.M.; Mazzotti, A.; Villafañe, J.H.; Bosetti, M.; Ceccarini, P.; Cochis, A.; Daou, F.; Ronga, M.; Grassi, F.A.; Rimondini, L. Current Concepts about Calcaneal Fracture Management: A Review of Metanalysis and Systematic Reviews. Appl. Sci. 2023, 13, 12311. Leigheb, M.; Codori, F.; Samaila, E.M.; Mazzotti, A.; Villafañe, J.H.; Bosetti, M.; Ceccarini, P.; Cochis, A.; Daou, F.; Ronga, M.; Grassi, F.A.; Rimondini, L. Current Concepts about Calcaneal Fracture Management: A Review of Metanalysis and Systematic Reviews. Appl. Sci. 2023, 13, 12311.

Abstract

Background: Calcaneal fractures are the most frequent traumatic injuries 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 their management and complications but treatment is still controversial. The purpose of the study to review the secondary scientific literature looking for the optimal management of calcaneal fracture; Methods: through the PubMed MEDLINE database, 4856 articles were identified; only meta-analyses and systematic reviews were included in the study. Results: 59 reviews with more than 10,000 calcaneus fractures were examined and results were divided into various topics; the majority of articles agree on the superiority of surgical versus conservative treatment; minimally invasive access to the sinus tarsi shows better results and fewer complications than traditional extended lateral access; reduction and osteosynthesis with percutaneous and/or minimally invasive techniques seem to provide better outcomes if compared to open treatments. Conclusions: The management of calcaneus fractures requires an individualized planning based on the functional demands of the patient, the type of fracture and associated injuries. New technologies and further studies may still improve the management of these lesions.

Keywords

calcaneus; calcaneal fracture; ORIF; conservative; operative; extensile lateral approach (ELA); sinus tarsi approach (STA)

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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