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Extensile lateral approach

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https://www.readbyqxmd.com/read/29410159/sinus-tarsi-approach-sta-versus-extensile-lateral-approach-ela-for-treatment-of-closed-displaced-intra-articular-calcaneal-fractures-diacf-a-meta-analysis
#1
REVIEW
L Bai, Y Hou, G-H Lin, X Zhang, G-Q Liu, B Yu
INTRODUCTION: Our aim was to compare the effect of Sinus Tarsi Approach (STA) vs Extensile Lateral Approach(ELA) for Treatment of Closed Displaced Intra-Articular Calcaneal Fractures (DIACF.) is still being debated, MATERIALS AND METHODS: A thorough research was carried out in the MEDLINE, EMBASE, and Cochrane library databases from inception to December 2016. Only prospective or retrospective comparative studies was selected in this meta-analysis. Two independent reviewers conducted literature search, data extraction, and quality assessment...
February 1, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29409272/surgical-approaches-to-the-calcaneus-and-the-sural-nerve-there-is-no-safe-zone
#2
Niall A Smyth, Erik C Zachwieja, Leonard T Buller, Alejandro D Miranda, Steven D Steinlauf
BACKGROUND: Sural nerve related symptoms following the extensile lateral approach to the calcaneus (ELA) and the sinus tarsi approach (STA) are a known postoperative complication despite awareness of the course the sural nerve. While the main trunk of the sural nerve and its location relative to the approaches have been previously described, the nerve gives rise to lateral calcaneal branches (LCBs) and an anastomotic branch (AB) that may be at risk of injury. The purpose of this study was to describe the course of the sural nerve, its LCBs and the AB in relation to the ELA and STA...
June 28, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29367033/comparison-of-a-single-approach-versus-double-approaches-for-the-treatment-of-terrible-traid-of-elbow-a-retrospective-study
#3
Chengwei Zhou, Jianxiang Xu, Jinti Lin, Renjin Lin, Kai Chen, Jianzhong Kong, Yongzeng Feng, Xiaolong Shui
INTRODUCTION: Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. This study is to compare the clinical outcome of a single lateral approach-the extensile splitting extensor digitorum communis (EDC) approach and combined lateral and medial (CML) approaches for the treatment of terrible traid of the elbow (TTE). MATERIAL AND METHODS: After appropriate exclusion, 60 TTE patients (28 patients in the EDC group, 32 patients in the CML group) from 2009 January to 2015 August were reviewed in this study...
January 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29356798/staged-prone-supine-fixation-of-high-energy-multicolumnar-tibial-plateau-fractures-a-multicenter-analysis
#4
Elliot R Row, Stephen Kottmeier, David E Komatsu, John T Watson, Clifford Jones
PURPOSE: We present a surgical strategy to manage multicolumnar tibial plateau fracture variants by addressing the predominant posterior fragment employing a Lobenhoffer approach in the prone position followed by supine patient repositioning for anterolateral column access. DESIGN: Multicenter retrospective analysis. SETTING: Three academic Level 1 trauma centers. PATIENTS/METHODS: Twenty-eight cases (28 patients/28 knees) met inclusion criteria between 2003 and 2014...
January 5, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29337175/minimally-invasive-versus-extensile-lateral-approach-for-sanders-type-ii-and-iii-calcaneal-fractures-a-meta-analysis-of-randomized-controlled-trials
#5
REVIEW
Zhikui Zeng, Lingmei Yuan, Shengpeng Zheng, Youqiang Sun, Feng Huang
BACKGROUND: The use of less-invasive techniques in the treatment of displaced intra-articular calcaneal fractures (DIACFs) remains controversial. No prior meta-analysis has considered the influence of differences in the fracture type. Thus, our meta-analysis aimed to investigate the efficacy and safety of minimally invasive (MI) in Sanders type II and III fractures. MATERIALS AND METHODS: A comprehensive search was performed to identify RCTs comparing MI using sinus tarsi approach (STA) or percutaneous reduction (PR) to open reduction (OR) via extensile lateral approach (ELA) from the Cochrane Library, PubMed, Embase and CNKI...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29115654/management-of-capitellar-fractures-with-open-reduction-and-internal-fixation-using-herbert-screws
#6
Asif Sultan, Omar Khursheed, Mohammad Rafiq Bhat, Hilal Ahmad Kotwal, Qazi Waris Manzoor
BACKGROUND: Capitellar fractures are rare elbow injuries and can cause severe limitation of function if not properly managed. Numerous treatments have evolved, from closed reduction and cast immobilization to open reduction and internal fixation (ORIF), so as to achieve a stable joint that allows early mobilization. We determined the functional outcomes of treating these fractures with ORIF using Herbert screws via an extensile lateral approach. METHODS: Fifteen patients with capitellar fractures were included in this retrospective study...
November 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28951640/minimally-invasive-plate-osteosynthesis-on-anterior-pelvic-ring-injury-and-anterior-column-acetabular-fracture
#7
Hadisoebroto Dilogo Ismail, Yoshi Pratama Djaja, Jessica Fiolin
INTRODUCTION: In performing surgery for fractures of the pelvis and acetabulum, various surgical approaches have been introduced with their own advantages and drawbacks. The extensile nature of ilioinguinal approach gives excellent exposure but was related to wound healing problems. Modified stoppa has a higher difficulty and poses a risk for neurovascular injury. In this study, we elaborate our experience using the Modified Stoppa approach with additional lateral window while adding few modifications to simplify the procedure and facilitate future implant removal...
July 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28790476/surgical-treatment-of-sanders-type-2-calcaneal-fractures-using-a-sinus-tarsi-approach
#8
Chul Hyun Park, Dong Yeol Lee
BACKGROUND: Calcaneum is the most commonly fractured tarsal bone. The optimal treatment for displaced calcaneus fractures involving the posterior facet is surgical. The extensile lateral approach is commonly preferred because it provides sufficient exposure of the subtalar facet. However, this technique has the risk of complications such as wound necrosis and sural nerve injury. Various minimally invasive approaches, such as sinus tarsi approach, limited posterior approach, and percutaneous approach, have been introduced to reduce possible complications...
July 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28680895/visualization-of-the-capitellum-during-elbow-arthroscopy-a-comparison-of-3-portal-techniques
#9
David P Trofa, Stephanie M Gancarczyk, Joseph M Lombardi, Eric C Makhni, Charles A Popkin, Christopher S Ahmad
BACKGROUND: Capitellar osteochondritis dissecans (OCD) is a debilitating condition of unknown etiology for which various arthroscopic treatments are available. Prior data suggest that greater than 75% of the capitellum can be visualized arthroscopically through a dual lateral portal approach. However, there is no literature assessing arthroscopic visualization of the capitellum via alternative portals. PURPOSE: To determine the percentage of capitellum visualized using the dual lateral, distal ulnar and soft spot, and posterolateral and soft spot portal configurations in a cadaver model...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28673102/open-reduction-assisted-with-an-external-fixator-and-internal-fixation-with-calcaneal-locking-plate-for-intra-articular-calcaneal-fractures
#10
Hui Yao, Huading Lu, Huiqing Zhao, Lulu Lv, Gang Hou
BACKGROUND: The extensile lateral approach (ELA) has been considered to be a standard approach for displaced intra-articular calcaneal fractures (DICF) because it provides excellent exposure and allows direct reduction of the depressed posterior facet fragment. But continuous retraction during surgery needs sufficient manpower and may cause ischemia. Failure of rigid fixation of DICF will not allow for early weight bearing and may lead to a loss of reduction. To avoid these disadvantages, this study presents open reduction assisted with an external fixator and internal fixation with a calcaneal locking plate...
October 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28644936/the-deltoid-lift-a-comparison-study-of-exposure-area-in-proximal-humeral-approaches
#11
Michael Ting, Nicholas Kusnezov, John Dunn, Alok K Dwivedi, Miguel A Pirela-Cruz
BACKGROUND: Adequate exposure of the proximal humerus is necessary to address atypical or complex proximal humerus fractures and orthopedic tumors. Surgical management may be difficult through existing approaches due to their limited nature and the delicate neurovascular anatomy of the shoulder. The deltoid lift, a previously described extensile approach, can be incorporated into the surgeon's armamentarium as an alternative exposure to the proximal humerus. The objective of this study was to quantify and compare the humeral exposure achieved through the deltoid lift with the standard direct lateral deltoid-splitting, anterolateral acromial, and deltopectoral approaches in terms of surface area and exposure of key anatomic landmarks...
July 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28597687/comparison-of-calcaneal-exposure-through-the-extensile-lateral-and-sinus-tarsi-approaches
#12
Katherine M Bedigrew, James A Blair, Daniel R Possley, Kevin L Kirk, Joseph R Hsu
The purpose of this study was to compare the exposure of the posterior facet with the extensile lateral (EL) approach compared with the sinus tarsi (ST) approach. We hypothesized that the ST approach will provide a similar exposure of the posterior calcaneal facet. A total of 8 sequential ST then EL approaches were performed on cadavers. Calcaneal landmarks were identified by visualization or palpation. Calibrated digital photographs of the posterior facet and lateral calcaneal body were obtained from standardized positions and used to calculate the exposed surface area...
June 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28554104/capitellar-fracture-with-bony-avulsion-of-the-lateral-collateral-ligament-in-a-child-case-report
#13
M Fuad, A Elmhiregh, A Motazedian, M Bakdach
INTRODUCTION: Isolated capitellar fracture is a rare injury accounting for 1% of all elbow fractures Bryan and Morrey (1985) and Poynton et al. (1998). In children, a fall on an outstretched hand, before the fusion of the epiphysis, usually leads to lateral condyle physeal fractures. Very few cases of capitellar fractures in the paediatric population have been reported. PRESENTATION OF CASE: Our patient, a 9-year-old girl presented with a capitellar fracture and lateral collateral ligament (LCL) avulsion of her left elbow...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28399657/cadaveric-evaluation-of-dorsal-intermetatarsal-approach-for-plantar-plate-and-lateral-collateral-ligament-repair-of-the-lesser-metatarsophalangeal-joints
#14
Phinit Phisitkul, Vinay Hosuru Siddappa, Tinnart Sittapairoj, Jessica E Goetz, Bryan D Den Hartog, John E Femino
BACKGROUND: Access to the plantar plate has been described using either a plantar approach or an extensive dorsal approach that required complete joint destabilization and often a metatarsal osteotomy. Clinical scenarios related to plantar plate tear vary and the pathologies in early stages are frequently limited to unilateral soft tissue structures; a less invasive operative approach may be possible. A novel approach requiring a release of only the lateral collateral ligament and the lateral half of the plantar plate is presented in this cadaver model; the extent of joint exposure possible is described...
July 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28324822/outcome-evaluation-of-minimally-invasive-surgery-versus-extensile-lateral-approach-in-management-of-displaced-intra-articular-calcaneal-fractures-a-randomised-control-trial
#15
Ankit Khurana, Mandeep S Dhillon, Sharad Prabhakar, Rakesh John
BACKGROUND: Minimally invasive surgery has a significant and evolving role in the treatment of DIACFs, but there is limited literature on this topic. OBJECTIVES: To compare the clinico-radiological outcomes of DIACFs fixed with MIS technique with ORIF. METHODS: This randomised control trial (RCT) included 21 closed Sanders type 2 and 3 DIACFs which were selected from 70 who presented. Extensile lateral approach was used in the ORIF group; while MIS techniques included either percutaneous reduction or small incisions with indirect fragment manipulation...
June 2017: Foot
https://www.readbyqxmd.com/read/28288661/sinus-tarsi-approach-versus-extensile-lateral-approach-for-displaced-intra-articular-calcaneal-fracture-a-meta-analysis-of-current-evidence-base
#16
Hui Yao, Tangzhao Liang, Yichun Xu, Gang Hou, Lulu Lv, Junbin Zhang
BACKGROUND: The extensile lateral approach (ELA) has been widely performed for displaced intra-articular calcaneal fractures (DIACFs), and wound complications remain a significant problem. As a minimal incision technique, the sinus tarsi approach (STA) was designed to overcome this disadvantage. There were already many reports about this approach but the conclusions were not completely consistent. Based on the current evidence, we performed this meta-analysis to compare the STA with ELA in the management of DIACF and expected to draw a certain and meaningful conclusion...
March 14, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28276647/clinical-comparison-of-extensile-lateral-approach-and-sinus-tarsi-approach-combined-with-medial-distraction-technique-for-intra-articular-calcaneal-fractures
#17
COMPARATIVE STUDY
Hai-Chao Zhou, Tao Yu, Hao-Yang Ren, Bing Li, Kai Chen, You-Guang Zhao, Yun-Feng Yang
OBJECTIVE: To study and compare the clinical outcomes of open reduction and internal fixation via extensile L-shape incision and limited open reduction via the sinus tarsi approach using the 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. Patients were divided into two groups: 28 were in the sinus tarsi approach group and 37 were in the extensile lateral approach group...
February 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28167067/early-fixation-of-calcaneus-fractures
#18
REVIEW
Michael P Swords, Phillip Penny
The treatment of calcaneus fractures is controversial. Historically, most operatively treated fractures have been approached with a lateral extensile incision requiring delay in operative treatment until swelling has improved. There is a current trend and interest in small incision approaches allowing, and in some cases requiring, earlier operative fixation. Clinical scenarios amenable to consideration for early fixation are reviewed. The sinus tarsi surgical approach and reduction techniques are outlined in detail...
March 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28167066/calcaneal-fracture-management-extensile-lateral-approach-versus-small-incision-technique
#19
REVIEW
Nathan J Kiewiet, Bruce J Sangeorzan
Calcaneal fracture management has historically been a controversial topic and represents an area of sustained interest over the past several decades. The authors review current methods for calcaneal fracture fixation with an extensile lateral approach and small incision techniques. Early reports of small incision techniques have reported promising outcomes and reduced risks for complications. These techniques may be beneficial to reduce the risk of soft tissue complications and improve the rate of recovery.
March 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28166172/sanders-ii-iii-calcaneus-fractures-in-laborers-a-cost-effectiveness-analysis-and-call-for-effectiveness-research
#20
R Carter Clement, Pamela J Lang, Brett J Pettett, Robert A Overman, Robert F Ostrum, Joshua N Tennant
OBJECTIVE: This study compares the cost and cost-effectiveness of treatments options for Sanders II/III displaced intra-articular calcaneus fractures (DIACFs) in laborers. METHODS: Literature on Sanders type II and III fractures was reviewed to determine complication rates and utility values for each treatment option. Costs were calculated using Medicare reimbursement and implant prices from our institution. Monte Carlo simulations were used to analyze a decision tree to determine the cost and cost-effectiveness of each treatment from a societal perspective...
June 2017: Journal of Orthopaedic Trauma
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