scholarly journals Local Random Pattern Flap Coverage for Implant Exposure following Open Reduction Internal Fixation via Extensile Lateral Approach to the Calcaneus

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yingjie Liu ◽  
Peihua Cai ◽  
Liang Cheng ◽  
Yanfeng Li
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Lateral Approach ◽  
Open Reduction Internal Fixation ◽  
Random Pattern ◽  
Articular Fracture ◽  
Flap Transfer ◽  
Implant Exposure ◽  
Extensile Lateral Approach ◽  
Fracture Of The Calcaneus

Abstract Background Skin necrosis and implant exposure most often appear at the corner of Extensile Lateral Approach for open reduction and internal fixation (ORIF) for displaced intra-articular fracture of the calcaneus. Flap transfer is often used for coverage of this implant exposure. We introduced a new simple local random pattern flap to cover the implant exposure. Methods From March 2017 to March 2020, 12 patients with implant exposure after ORIF for displaced intra-articular fracture of the calcaneus were treated with this procedure. The sizes of the defects ranged from 2 × 2 cm2 to 5 × 2 cm2. A local random pattern flap was designed according to the defect size. The lower edge of the flap was along with the wound upper edge and extended distally. The upper horizontal incision of the flap was made at the lateral malleolus level with a length of 5–7 cm depending on the wound defect. Then the random pattern flap was elevated and transferred to cover the defect area. Results The mean follow-up duration was 6.3 months (ranging 4–13 months). All 12 flaps were uneventfully healed and all patients were able to wear shoes, and no debulking procedures were required. Conclusion The local random pattern flap could be a choice for surgeons when implant exposure at the corner of Extensile Lateral Approach to the Calcaneus occurs.

scholarly journals Evaluation of open reduction and internal fixation of displaced intra-articular fracture of calcaneum- A short term study

2020 ◽  
Vol 5 (3) ◽  
pp. 1215-1219
Author(s):  
Ranjib Kumar Jha ◽  
Santosh Thapa
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Lateral Approach ◽  
Prospective Clinical Study ◽  
Articular Fracture ◽  
Intraarticular Fracture ◽  
Subtalar Arthritis ◽  
Extensile Lateral Approach ◽  
Hind Foot ◽  
The Mean

Introduction: Management of displaced intraarticular fracture of calcaneum is controversial. Non-operative management often have unsatisfactory result due to subtalar arthritis and abnormal foot morphology. Objective: The objective of the study was to evaluate clinical and radiological outcome of patients with displaced intra-articular fracture of calcaneum treated by open reduction and internal fixation(ORIF) with plates and screws through extensile lateral approach. Methodology: This was prospective clinical study conducted in Nobel Medical College between November 2016 to December 2019. The patients were treated by ORIF with calcaneal plates and screws through extensile lateral approach. Patients were followed up for minimal one year. Patients were evaluated clinically by using AOFAS hind foot score and radiologically by measuring Bohler’s and Gissane angle and calcaneal height and width. Results: Out of total 26 cases, fifteen were sander’s type II, eight were type III and three were type IV. The mean age of patients was 33.92 years. The mean delay of surgery due to swelling was 8.65±1.95 days. The averagefollow-up period was 17 months.  The mean AOFAS hind foot score was85.08±7.67. Tenpatients (38.46%) had excellent, twelve patients(48.61%) had good and four patients(15.38%) had fair outcome.There were significant association between improvement in Bohler’s and Gissane angle and functional outcome measured by AOFAS hind foot score. Conclusion : Open reduction and internal fixation of displaced intraarticular fracture of calcaneum with calcaneal plates and screws through extensile lateral approach produce good clinical and radiological result.

scholarly journals Evaluation of Factors Driving Cost Variation for Distal Humerus Open Reduction Internal Fixation

2020 ◽  
Author(s):  
Michelle Zeidan ◽  
Andrew R. Stephens ◽  
Chong Zhang ◽  
Angela P. Presson ◽  
Andrew R. Tyser ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Distal Humerus ◽  
Open Reduction Internal Fixation ◽  
Cost Variation

scholarly journals Comparison of Minimally Invasive Percutaneous Plate Osteosynthesis and Open Reduction Internal Fixation on Proximal Humeral Fracture in Elder Patients: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Wei Zhao ◽  
Yuhui Zhang ◽  
Dongni Johansson ◽  
Xingyu Chen ◽  
Fang Zheng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Humeral Fracture ◽  
Plate Osteosynthesis ◽  
Meta Analysis ◽  
Humeral Fracture ◽  
Open Reduction Internal Fixation ◽  
Elder Patients

Objective. The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. Method. PubMed, Medline, EMbase, Ovid, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wangfang, and VIP Database for Chinese Technical Periodicals were searched to identify all relevant studies from inception to October 2016. Data were analyzed with Cochrane Collaboration’s Review Manage 5.2. Results. A total of 630 patients from 8 publications were included in the systematic review and meta-analysis. The pooled results showed that MIPO was superior to ORIF in the treatment of proximal humeral fracture in elder patients. It was reflected in reducing blood loss, operation time, postoperative pain, or fracture healing time of the surgery and in improving recovery of muscle strength. Concerning complications, no significant difference was seen between MIPO and ORIF. Conclusion. The MIPO was more suitable than ORIF for treating proximal humeral fracture in elder patients.

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