{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:08:59Z","timestamp":1774444139997,"version":"3.50.1"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Avulsion fractures of the calcaneal tuberosity with significant displacement can cause soft tissue complications in the heel. However, a treatment strategy for calcaneal tuberosity fractures with poor heel-skin condition is yet to be established. Here, we report a case involving avulsion fracture of the calcaneal tuberosity presenting with superficial skin necrosis that was treated with a plate lacking the anterior component and screws inserted percutaneously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 74-year-old woman presented with progressive right heel pain following an injury to her heel sustained approximately six weeks previously. She had experienced difficulty walking due to heel pain and superficial necrosis was observed on the posterior surface of the heel. Radiography and computed tomography revealed an avulsion fracture of the calcaneal tuberosity with superior displacement. Open reduction was performed using a lateral L-shaped incision. After inserting two cancellous screws percutaneously into the calcaneal tuberosity, we fixed a plate lacking the anterior component to the lateral surface of the calcaneus. The superficial necrosis healed gradually post-operatively. Bone union was confirmed using radiography six months post-operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>We developed a novel surgical procedure to treat avulsion fractures of the calcaneal tuberosity with poor skin condition. The combination of a plate lacking the anterior component and the percutaneous insertion of canulated cancellous screws can reduce the risk of post-operative soft tissue complications while maintaining fixation of the fractured fragment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our findings provide a novel surgical method for the treatment of avulsion fractures of the calcaneal tuberosity with soft tissue complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109848","type":"journal-article","created":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T11:42:27Z","timestamp":1717242147000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Osteosynthesis using a plate lacking the anterior component and canulated cancellous screws to treat an avulsion fracture of the calcaneal tuberosity: A case report"],"prefix":"10.1097","volume":"120","author":[{"given":"Yusuke","family":"Shiba","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryogo","family":"Furuhata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Tanji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"33-45","key":"R1-70-20260325","article-title":"Fractures of the calcaneum, with an atlas illustrating the various types of fracture","volume":"35-b","author":"Warrick,","year":"1953","journal-title":"J. Bone Joint Surg. Br."},{"issue":"4","key":"R2-70-20260325","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.foot.2009.05.001","article-title":"The epidemiology of calcaneal fractures","volume":"19","author":"Mitchell,","year":"2009","journal-title":"Foot (Edinb.)"},{"issue":"2","key":"R3-70-20260325","doi-asserted-by":"crossref","first-page":"254.e1","DOI":"10.1016\/j.ajem.2007.04.033","article-title":"Calcaneal avulsion fractures: complications from delayed treatment","volume":"26","author":"Hess,","year":"2008","journal-title":"Am. J. Emerg. Med."},{"issue":"3","key":"R4-70-20260325","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1111\/os.12058","article-title":"Surgical management for avulsion fracture of the calcaneal tuberosity","volume":"5","author":"Yu,","year":"2013","journal-title":"Orthop. 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Foot Ankle Surg."},{"issue":"12","key":"R11-70-20260325","article-title":"Avulsion fractures of the calcaneal tuberosity: a single-center review of outcomes and complications","volume":"5","author":"Doany,","year":"2021","journal-title":"J Am Acad Orthop Surg Glob Res Rev."},{"issue":"5","key":"R12-70-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"issue":"8","key":"R13-70-20260325","doi-asserted-by":"crossref","first-page":"863","DOI":"10.3113\/FAI.2008.0000","article-title":"Avulsion fracture of the calcaneal tuberosity: a case report and literature review","volume":"29","author":"Beavis,","year":"2008","journal-title":"Foot Ankle Int."},{"issue":"6","key":"R14-70-20260325","first-page":"271","article-title":"Heel necrosis: a complication of geriatric diseases (author's transl)","volume":"9","author":"Martin,","year":"1979","journal-title":"Aktuel Gerontol."},{"issue":"7","key":"R15-70-20260325","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/107110079401500701","article-title":"Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes","volume":"15","author":"Kitaoka,","year":"1994","journal-title":"Foot Ankle Int."},{"issue":"2","key":"R16-70-20260325","doi-asserted-by":"crossref","first-page":"134","DOI":"10.4055\/cios.2012.4.2.134","article-title":"Avulsion fracture of the calcaneal tuberosity: classification and its characteristics","volume":"4","author":"Lee,","year":"2012","journal-title":"Clin. 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