scholarly journals Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach

2011 ◽  
Vol 1 (2) ◽  
pp. e7
Author(s):  
Karl M. Schweitzer ◽  
Trevor R. Gaskill ◽  
Mark E. Easley ◽  
James A. Nunley
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Lateral Approach ◽  
Calcaneal Fractures ◽  
Extensile Lateral Approach

scholarly journals The Clinical Comparison of Extensile Lateral Approach and Sinus Tarsi Approach Combined with Medial Distraction Technique for Intra-Articular Calcaneal Fractures

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0004
Author(s):  
Yunfeng Yang ◽  
Haichao Zhou ◽  
Yun Zhang
Keyword(s):  
Open Reduction ◽  
Lateral Approach ◽  
Calcaneal Fractures ◽  
Sinus Tarsi ◽  
Sinus Tarsi Approach ◽  
Extensile Lateral Approach ◽  
Hind Foot ◽  
Approach Group ◽  
Varus Angle

Category: Hindfoot Introduction/Purpose: To study and compare the clinical outcomes of open reduction and internal fixation via extensile L-shape incision and limited open reduction via sinus tarsi approach using medial distraction technique for intra-articular calcaneal fractures. Methods: We performed a retrospective review of 65 intra-articular calcaneal fractures treated operatively between March 2012 and February 2015, including 32 cases of Sanders type? and 33 of Sanders type?. There were 49 men and 16 women. The mean age was 43.7 years old. They were divided into two groups: sinus tarsi approach group and extensile lateral approach group. No significant difference was found in gender, age, injury pattern, fracture classification between two groups (P>0.05). The Böhler angle, Gissane angle and calcaneal varus angle were measured before surgery, 1 week after surgery and at each follow-up visit respectively. The postoperative function was evaluated by the ankle and hind-foot score of American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS). Results: All of the fractures were healed at about 10 weeks postoperatively. Böhler angle, Gissane angle and calcaneal varus angle were restored obviously, while there was no significant statistically difference between the two groups. Only the corrected value of calcaneal varus angle is statistically significant.At the last follow-up, the average AOFAS ankle and hind-foot score of minimal group was 88.4±6.6, and the VAS score was 1.9±0.7, while of extensile lateral approach group was 83.2±5.6 and 2.3±1.0 respectively. Conclusion: Limited open reduction via sinus tarsi approach for intra-articular calcaneal fractures could reduce the incidence of wound complications effectively, and the medial distraction technique is helpful to correct the calcaneus varus deformity.

scholarly journals Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach

2013 ◽  
Vol 38 (4) ◽  
pp. 767-773 ◽  
Author(s):  
Manouk Backes ◽  
Tim Schepers ◽  
M. Suzan H. Beerekamp ◽  
Jan S. K. Luitse ◽  
J. Carel Goslings ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Lateral Approach ◽  
Wound Infections ◽  
Calcaneal Fractures ◽  
Extended Lateral Approach

scholarly journals Short term outcome of open reduction and internal fixation with plating in displaced intra articular calcaneal fractures

2020 ◽  
Vol 8 (4) ◽  
pp. 1226
Author(s):  
Amit Thakur ◽  
Zubair A. Lone ◽  
John Mohd ◽  
Mohammad Azhar ud din Darokhan ◽  
Tanveer Ali ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Bone Fractures ◽  
Lateral Approach ◽  
Calcaneal Fractures ◽  
Management Options ◽  
Term Outcome ◽  
Articular Fractures ◽  
Effective Treatment Modality ◽  
No Gold Standard

Background: Calcaneum fractures constitute the majority of the tarsal bone fractures worldwide. There is no gold standard consensus as of now for the management of the displaced intra articular calcaneal fractures. Open reduction and internal fixation with plating is one of the management options available.Methods: Authors studied the results of open reduction and internal fixation with plating in 22 calcaneal fractures in a study with a minimum follow up of 6 months. Outcome was studied using Maryland foot score.Results: Authors observed excellent results in 5 patients (22.72%), good results in 12 patients (54.54%), fair results in 4 patients (18.18%) and poor result in 1 patient (04.54%). Authors encountered wound infection in 1 patient (4.54%), heel varus in 1 patient (4.54%), heel broadening in 1 patient (4.54%), reduced range of motion at ankle in 2 patients (9.9%) and persistent heel pain in 1 patient (4.54%).Conclusions: Open Reduction and Internal Fixation (ORIF) with calcaneum plating, through an extensive lateral approach, for displaced intra articular fractures of the calcaneum is an effective treatment modality with very good results in experienced hands.

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 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.

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