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Foot Ankle Int. 2012 May;33(5):424-9. doi: 10.3113/FAI.2012.0424.

Percutaneous treatment of calcaneus fractures associated with underlying bone cysts.

Abstract

BACKGROUND:

Calcaneal bone cysts with pathological fractures are rare. There is no clear consensus on their management with a few reports of open curettage, bone grafting and internal fixation in the treatment of pathological calcaneal fractures. No minimally invasive management has been reported before.

METHODS:

We reviewed our experience in treating five patients with pathologic calcaneus fractures associated with pre-existing bone cysts who underwent percutaneous cyst curettage, fracture reduction, screw fixation and calcium sulfate cement injection between 2004 and 2009.

RESULTS:

All of the pathologic fractures healed with satisfactory radiological results. There were no soft tissue complications or cyst recurrences. Partial weightbearing with plaster cast immobilization was allowed at 4 weeks postoperatively and full weightbearing was allowed at 6 weeks postoperatively.

CONCLUSION:

This percutaneous technique provided a minimally invasive option for treatment of a calcaneal bone cyst with pathologic fracture.

PMID:
22735286
DOI:
10.3113/FAI.2012.0424
[Indexed for MEDLINE]
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