Major Fractures of the Pilon, the Talus, and the Calcaneus

This book contains the proceedings of an historic sympo sium, the first joint symposium of the Austrian, German and Swiss Trauma Associations and the Orthopaedic Trauma Association of North America. In an effort to bring Euro pean and North American trauma surgeons closer together and foster a free and productive exchange of ideas, these associations chose the meeting of the Austrian, German, and Swiss trauma associations, which was held in Vienna in May of 1991, as the occasion for their first joint session. The Austrian Trauma Association, led by its President, Professor Heinz Kuderna, was the host. The joint symposium of the European and the North American trauma associations, conducted in English, was held concurrently with the regular meeting of the AGS, conducted in German. In order to explore and compare the current concepts in trauma on the two continents, the organizing committee felt that the discussion should focus on an area full of challenge and controversy. Thus the major fractures of the pilon, the talus, and the os calcis were chosen as the topics of discus sion. Each subject was introduced by two keynote speakers, one from Europe and one from North America, who were chosen by their respective trauma associations on the basis of their expertise and distinguished contributions. These presentations were then followed by five or six invited shorter presentations on the subject. At the end of each session, the presenters formed a panel, debated controversial points, and answered questions from the audience.

Klappentext

This volume comprises the papers presented by distinguishedNorth American and European trauma surgeons at a jointmeeting of the Austrian, German and Swiss Associations oftrauma surgery and the Orthopaedic Trauma Association ofNorth America which took place in Vienna in May of 1991.It deals with the complex problems that arise in thetreatment of fractures of the tibial pilon, talus andcalcaneus. It documents the recent dramatic changes intreatment through new reduction techniques and surgicalinterventions, better management of soft tissues, andconcepts of aftercare that place more emphasis on function.This book represents the most recent thought and research inthis field by recognized authorities . It will be of greatinterest to researchers, but even more to trauma surgeons,who will immediately be able to incorporate these newconceptsand findings into their practice.

Inhalt
I • Pilon Fractures.- Treatment of Pilon Tibial Fractures: State of the Art.- Pilon Fractures of the Distal Tibia: A Test of Surgical Judgment.- Morphological Features for Evaluation and Classification of Pilon Tibial Fractures.- Tibial Plafond Fractures.- Results of Operative Treatment of Pilon Fractures.- External Fixation of Severely Comminuted and Open Pilon Fractures.- Critical Soft Tissue Conditions in Pilon Fractures.- Complications After Pilon Fractures.- II • Talus Fractures.- Talus Fractures.- The Management of Fractures and Dislocations of the Talus.- Late Results of Fractures and Fracture-Dislocation After ORIF.- Long-Term Results of Displaced Talar Neck Fractures.- Severe Foot Trauma in Combination with Talar Injuries.- Complications of Talar Fractures.- III • Calcaneus Fractures.- Biomechanical Considerations in the Hindfoot.- Calcaneal Fracture.- The Results of Operative Treatment of Displaced Intra-articular Calcaneal Fractures Using a CT Scan Classification.- Classification and Results of ORIF of Calcaneal Fractures.- Comparison of Open Versus Closed Reduction of Intra-articular Calcaneal Fractures: A Matched Cohort in Workmen.- Closed Reduction and Percutaneous Osteosynthesis: Technique and Results in 265 Calcaneal Fractures.- Results of Operative Treatment of Calcaneal Fractures.- Dorsoplantar Approach to the Calcaneus.- Subtalar Arthrodesis for Treatment of Late Complications Following Calcaneal Fractures.