ArticleUnfallchirurgie (Heidelberg, Germany)2026
[High-speed luge trauma with complex trauma of the foot and acute compartment syndrome in an 8-year-old child : Late result at 18 years follow-up].
Article in Unfallchirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplex trauma of the foot with acute compartment syndrome (CS) in children is an absolute rarity for which there are barely any treatment recommendations in the literature.
objectivePresentation of a staged operative management that yielded an excellent long-term result despite severe bone, joint and soft tissue injuries. MATERIAL AND
methodDuring luge training an 8‑year-old child collided with the barrier at approximately 90 km/h with the left foot, resulting in complex trauma to the foot (6 points according to Zwipp) with serial fractures of the talus, calcaneus (5 fragments/3 joints) with 50° varus deformity, cuboid and fifth metatarsal with acute foot CS. A 3‑stage treatment consisting of acute dorsomedial compartment release (Hanover approach) plus tibiometatarsal external fixation (day 1), intermediate skin adaptation (day 5) and definitive open anatomical joint reconstruction of the calcaneus (day 8) enabled an uneventful healing process. The below knee cast and K‑wires were removed 6 weeks after the third surgery. The child was exempted from physical education for 10 months and received intermittent physiotherapy for 12 months.
resultsThe patient, 18 years after the complex trauma of the left foot, is working full time as an industrial master painter in a 3-shift system. He can play soccer and do weight training without pain with full ankle, foot and toe function. The American Orthopaedic Foot & Ankle Society (AOFAS) ankle hindfoot score at 18 years follow-up is 100, the foot function index is 2.36, and the EuroQoL-5L5D score is 100 points. Weight-bearing computed tomography (CT) shows conservatively treated well-healed fractures of the talus, cuboid and fifth metatarsal. The anatomically realigned calcaneus is free of arthrosis with congruent posterior, medial and cuboid joint facets. DISCUSSION: Urgent relief of acute foot CS within 6 h of trauma is also essential in children. A staged surgical approach is recommended for complex foot trauma with severe soft tissue injury.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.