[Translated article] Management of surgical management of beak-type avulsion fractures of the posterior calcaneal tuberosity: A systematic narrative review

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2026-09-01 Epub Date: 2026-06-23 DOI:10.1016/j.recot.2026.06.014

J. Olucha Puchol, L. Díaz Aviñó, F. Forriol Brocal

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引用次数: 0

Abstract

Introduction

Beak-type avulsion fractures of the posterior calcaneal tuberosity have a high risk of skin complications due to Achilles tendon traction and limited soft tissue coverage. The objective was to synthesize evidence on their surgical management, comparing open and percutaneous approaches, focusing on skin complications and prognostic factors.

Material and methods

Systematic review following PRISMA 2020. Search in PubMed/MEDLINE and ScienceDirect (2000–2024). Clinical studies describing open reduction with internal fixation (ORIF) or closed reduction with percutaneous fixation (CRIF) were included. Narrative synthesis was performed due to methodological heterogeneity.

Results

Fourteen observational studies (268 patients) were included. Comparative series consistently showed a trend toward lower skin complication rates with CRIF compared to ORIF. Time to surgery (<48 h) and fragment displacement (>2 cm) were identified as relevant prognostic factors.

Conclusion

In selected fractures with moderate displacement, percutaneous fixation represents a reasonable option to minimize skin complications. Open fixation remains necessary for significantly displaced or comminuted injuries.

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【翻译文章】跟骨后结节喙型撕脱骨折的手术治疗：系统的叙述回顾。

导读：跟后结节的喙型撕脱骨折由于跟腱牵引和有限的软组织覆盖，有很高的皮肤并发症风险。目的是综合手术治疗的证据，比较开放和经皮入路，重点是皮肤并发症和预后因素。材料和方法：遵循PRISMA 2020进行系统评价。检索PubMed/MEDLINE和ScienceDirect（2000-2024）。包括描述切开复位内固定（ORIF）或闭合复位经皮固定（CRIF）的临床研究。由于方法的异质性，进行了叙事综合。结果：纳入14项观察性研究（268例）。比较系列一致显示，与ORIF相比，CRIF的皮肤并发症发生率较低。手术时间（2cm）被认为是相关的预后因素。结论：在选定的中度移位骨折中，经皮内固定是减少皮肤并发症的合理选择。对于严重移位或粉碎性损伤，开放固定仍然是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

期刊介绍： Es una magnífica revista para acceder a los mejores artículos de investigación en la especialidad y los casos clínicos de mayor interés. Además, es la Publicación Oficial de la Sociedad, y está incluida en prestigiosos índices de referencia en medicina.