{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T19:39:08Z","timestamp":1788637148152,"version":"build-2803163510"},"reference-count":17,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The aim of this study was to share the clinical results of open calcaneus fractures, which are extremely rare and have become the fearful nightmare of orthopedic surgeons.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Between June of 2014 and June of 2020, of 196 patients with the diagnosis of calcaneus fracture, Gustilo-Anderson type IIIB, 17 patients (11 men and six women; mean age, 36.2 \u00b1 4.6 years; range, 22\u201356 years) under prospective follow-up were retrospectively screened and included in the study. Patients were recorded in terms of classification of fracture, mechanism of injury, comorbidities, surgical progress, complications, and associated orthopedic and nonorthopedic injuries. Functional clinical results and quality of life of the patients were evaluated at the 6-month follow-up with the American Orthopedic Foot and Ankle Society score and the 36-Item Short Form Health Survey questionnaire.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    The most common etiologic factor was work-related injuries, with 29.4%. Although triple arthrodesis surgery was performed in three cases because of pseudoarthrosis, amputation was performed in one case because of deep infection. The most common soft-tissue defect was located at the medial aspect of the foot, which was commonly reconstructed with the used of reverse flow island sural flap. The average total American Orthopedic Foot and Ankle Society hindfoot score was 51.6 (range, 48\u201374) and similarly, physical component, pain, and social parameters on the 36-Item Short Form Health Survey were statistically significant compared to Turkish population normal scores.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    A long and laborious process is required for both the patient and the surgeon in the treatment of open calcaneal fractures. However, it is possible to obtain good results with soft-tissue reconstructions.\n                  <\/jats:p>","DOI":"10.7547\/21-179","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T16:35:34Z","timestamp":1704818134000},"source":"Crossref","is-referenced-by-count":1,"title":["The Nightmare of Calcaneus: Gustilo-Anderson Type IIIB Fractures"],"prefix":"10.3390","volume":"113","author":[{"given":"Sabri","family":"Batin","sequence":"first","affiliation":[{"name":"Kayseri City Education and Research Hospital, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yakup","family":"Ekinci","sequence":"additional","affiliation":[{"name":"Kayseri City Education and Research Hospital, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaan","family":"G\u00fcrb\u00fcz","sequence":"additional","affiliation":[{"name":"Kayseri City Education and Research Hospital, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Injury","first-page":"691","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown CM","year":"2006","unstructured":"Court-Brown CM, Caesar B: Epidemiology of adult fractures: a review. Injury 37: 691, 2006."},{"key":"B2","series-title":"Int J Clin Exp Med","first-page":"3841","article-title":"Clinical efficacy and prognosis factors of open calcaneal fracture: a retrospective study","volume":"8","author":"Zhang X","year":"2015","unstructured":"Zhang X, Liu Y, Peng A, et al: Clinical efficacy and prognosis factors of open calcaneal fracture: a retrospective study. Int J Clin Exp Med 8: 3841, 2015."},{"key":"B3","series-title":"J Am Acad Orthop Surg","first-page":"367","article-title":"Open hindfoot injuries","volume":"15","author":"Lawrence SJ","year":"2007","unstructured":"Lawrence SJ, Singhal M: Open hindfoot injuries. J Am Acad Orthop Surg 15: 367, 2007."},{"key":"B4","series-title":"Foot Ankle Int","first-page":"1052","article-title":"Complications associated with open calcaneus fractures","volume":"32","author":"Wiersema B","year":"2011","unstructured":"Wiersema B, Brokaw D, Weber T, et al: Complications associated with open calcaneus fractures. 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Int J Low Extrem Wounds 19: 377, 2020."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/6\/21-179.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/113\/6\/21-179.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/113\/6\/21-179.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:29Z","timestamp":1783505969000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/113\/6\/21179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":17,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.7547\/21-179","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}