Dopo 3 mesi frattura calcagno si cammina per bene

Adams MR, Munz JW, Koury KL. Fractures of the Calcaneus. Instr Course Lect. 2017 Feb 15;66:51-61

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Come riprendere a camminare dopo frattura?
Cosa succede dopo una frattura?
Come si cura la frattura del calcagno?
Quando si opera il calcagno?

Agren PH, Wretenberg P, Sayed-Noor AS. Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2013 Aug 7;95(15):1351-7

Albin SR, Koppenhaver SL, Marcus R, Dibble L, Cornwall M, Fritz JM. Short-term Effects of Manual Therapy in Patients After Surgical Fixation of Ankle and/or Hindfoot Fracture: A Randomized Clinical Trial. J Orthop Sports Phys Ther. 2019 May;49(5):310-319

Albin SR, Koppenhaver SL, Van Boerum DH, McPoil TG, Morgan J, Fritz JM. Timing of initiating manual therapy and therapeutic exercises in the management of patients after hindfoot fractures: a randomized controlled trial. J Man Manip Ther. 2018 Jul;26(3):147-156

Alexandridis G, Gunning AC, Leenen LP. Health-related quality of life in trauma patients who sustained a calcaneal fracture. Injury. 2016 Jul;47(7):1586-91

Buckley R, Tough S, McCormack R, Pate G, Leighton R, Petrie D, Galpin R. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2002 Oct;84(10):1733-44

Clare MP, Crawford WS. Managing Complications of Calcaneus Fractures. Foot Ankle Clin. 2017 Mar;22(1):105-116

Galluzzo M, Greco F, Pietragalla M, De Renzis A, Carbone M, Zappia M, Maggialetti N, D'andrea A, Caracchini G, Miele V. Calcaneal fractures: radiological and CT evaluation and classification systems. Acta Biomed. 2018 Jan 19;89(1-S):138-150

Gardner MJ, Nork SE, Barei DP, Kramer PA, Sangeorzan BJ, Benirschke SK. Secondary soft tissue compromise in tongue-type calcaneus fractures. J Orthop Trauma. 2008 Aug;22(7):439-45

Griffin D, Parsons N, Shaw E, Kulikov Y, Hutchinson C, Thorogood M, Lamb SE; UK Heel Fracture Trial Investigators. Operative versus non operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial. BMJ. 2014 Jul 24;349:g4483

Haapasalo H, Laine HJ, Mäenpää H, Wretenberg P, Kannus P, Mattila VM. Epidemiology of calcaneal fractures in Finland. Foot Ankle Surg. 2017 Dec;23(4):321-324

Harnroongroj T, Harnroongroj T, Suntharapa T, Arunakul M. The new intra-articular calcaneal fracture classification system in term of sustentacular fragment configurations and incorporation of posterior calcaneal facet fractures with fracture components of the calcaneal body. Acta Orthop Traumatol Turc. 2016 Oct;50(5):519-526

Howells NR, Hughes AW, Jackson M, Atkins RM, Livingstone JA. Interobserver and intraobserver reliability assessment of calcaneal fracture classification systems. J Foot Ankle Surg. 2014 Jan-Feb;53(1):47-51

Humphrey JA, Woods A, Robinson AHN. The epidemiology and trends in the surgical management of calcaneal fractures in England between 2000 and 2017. Bone Joint J. 2019 Feb;101-B(2):140-146

Hunt KJ, Higgins TF, Carlston CV, Swenson JR, McEachern JE, Beals TC. Continuous peripheral nerve blockade as postoperative analgesia for open treatment of calcaneal fractures. J Orthop Trauma. 2010 Mar;24(3):148-55

Jiménez-Almonte JH, King JD, Luo TD, Aneja A, Moghadamian E. Classifications in Brief: Sanders Classification of Intraarticular Fractures of the Calcaneus. Clin Orthop Relat Res. 2019 Feb;477(2):467-471

Juliano P, Nguyen HV. Fractures of the calcaneus. Orthop Clin North Am. 2001 Jan;32(1):35-51

Ketz J, Clare M, Sanders R. Corrective Osteotomies for Malunited Extra-Articular Calcaneal Fractures. Foot Ankle Clin. 2016 Mar;21(1):135-45

Luo X, Li Q, He S, He S. Operative Versus Nonoperative Treatment for Displaced Intra-Articular Calcaneal Fractures: A Meta-Analysis of Randomized Controlled Trials. J Foot Ankle Surg. 2016 Jul-Aug;55(4):821-8

Potter MQ, Nunley JA. Long-term functional outcomes after operative treatment for intra-articular fractures of the calcaneus. J Bone Joint Surg Am. 2009 Aug;91(8):1854-60

Renovell-Ferrer P, Bertó-Martí X, Diranzo-García J, Barrera-Puigdorells L, Estrems-Díaz V, Silvestre-Muñoz A, Brú-Pomer A. Functional outcome after calcaneus fractures: a comparison between polytrauma patients and isolated fractures. Injury. 2017 Nov;48 Suppl 6:S91-S95

Tomesen T, Biert J, Frölke JP. Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation. J Bone Joint Surg Am. 2011 May 18;93(10):920-8

Toussaint RJ, Lin D, Ehrlichman LK, Ellington JK, Strasser N, Kwon JY. Peroneal tendon displacement accompanying intra-articular calcaneal fractures. J Bone Joint Surg Am. 2014 Feb 19;96(4):310-5

van Hoeve S, de Vos J, Verbruggen JP, Willems P, Meijer K, Poeze M. Gait Analysis and Functional Outcome After Calcaneal Fracture. J Bone Joint Surg Am. 2015 Nov 18;97(22):1879-88

Wei N, Zhou Y, Chang W, Zhang Y, Chen W. Displaced Intra-articular Calcaneal Fractures: Classification and Treatment. Orthopedics. 2017 Nov 1;40(6):e921-e929

White EA, Skalski MR, Matcuk GR Jr, Heckmann N, Tomasian A, Gross JS, Patel DB. Intra-articular tongue-type fractures of the calcaneus: anatomy, injury patterns, and an approach to management. Emerg Radiol. 2019 Feb;26(1):67-74

Come riprendere a camminare dopo frattura?

Dopo la riduzione della frattura e dopo aver bloccato la gamba, si può fare la fisioterapia per: Imparare ad utilizzare le stampelle, un bastone o un deambulatore, Velocizzare la formazione del callo osseo, Fare gli esercizi per anca e ginocchio in modo da non indebolire tutti i muscoli dell'arto inferiore.

Cosa succede dopo una frattura?

La fase di infiammazione è il primo stadio di guarigione. In questa fase iniziale, gli osteoclasti (cellule che erodono l'osso) sciolgono e riciclano i detriti ossei. La seconda fase “riparativa” inizia circa due settimane dopo la frattura.

Come si cura la frattura del calcagno?

Trattamento delle fratture del calcagno.

Consulto con uno specialista ortopedico..

Talvolta protezione (solitamente con un tutore), riposo, ghiaccio, compressione e sollevamento..

Ingessatura (quando il gonfiore si è ridotto).

Eventualmente, intervento chirurgico..

Fisioterapia dopo la guarigione..

Quando si opera il calcagno?

Solitamente il chirurgo ortopedico mira a trattare le fratture del calcagno quando sono considerate gravi, per accelerare il recupero e ridurre il dolore e la deformità. Possono essere utilizzate placche, viti e/o fili sulla base del tipo di frattura e in base alle decisioni del chirurgo che esegue l'operazione.