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Extensile lateral approach

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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
#1
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...
February 20, 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
#2
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
#3
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...
March 9, 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28167067/early-fixation-of-calcaneus-fractures
#4
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
#5
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/cost-and-cost-effectiveness-analysis-of-treatment-options-for-sanders-ii-and-iii-calcaneus-fractures-in-laborers
#6
R Carter Clement, Pamela J Lang, Brett J Pettett, Robert A Overman, Robert F Ostrum, Josh N Tennant
OBJECTIVE: This study compares the cost and cost-effectiveness of treatments options for Sanders II/III displaced intra-articular calcaneus fractures (DIACF's) 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...
January 30, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28122417/meta-analysis-of-two-surgical-approaches-for-calcaneal-fractures-sinus-tarsi-versus-extensile-lateral-approach
#7
REVIEW
Fei Zhang, Hongtao Tian, Shilun Li, Bo Liu, Tianhua Dong, Yanbin Zhu, Yingze Zhang
BACKGROUND: There remains a controversy between extensile lateral approach and sinus tarsi approach (STA) to treat calcaneal fractures. The aim of this study is to evaluate the medium- and long-term outcomes of the STA versus extensile lateral approach in terms of intraoperative variables, quality of alignment on a lateral radiograph incidence of wound healing complication, visual analogue scale and American Orthopaedic Foot and Ankle Society for the treatment of calcaneal fractures. METHODS: Relevant original studies were searched in PubMed, Medline and Embase and Chinese National Knowledge Infrastructure (January 1990 and November 2015)...
March 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27923213/proximity-of-the-lateral-calcaneal-artery-with-a-modified-extensile-lateral-approach-compared-to-standard-extensile-approach
#8
John Y Kwon, Tyler Gonzalez, Matthew D Riedel, Ara Nazarian, Mohammad Ghorbanhoseini
BACKGROUND: The extensile lateral approach (EL) has been associated with increased wound complications such as apical necrosis which may be due partially from violation of the lateral calcaneal artery (LCA). Traditionally, the vertical limb has been placed half-way between the fibula and Achilles tendon, which may be suboptimal given the proximity to the LCA. We hypothesized that placing the vertical limb further posterior (ie, modified EL [MEL]) would increase the distance from the LCA...
March 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27857507/patient-satisfaction-after-open-reduction-and-internal-fixation-through-lateral-extensile-approach-in-displaced-intraarticular-calcaneal-fractures-sander-s-type-ii-and-iii
#9
Khatri Kavin, Sharma Vijay, Lakhotia Devendra, Farooque Kamran
AIM: To determine patient satisfaction in the patients of displaced intraarticular calcaneal fractures treated with standard lateral approach. METHOD: The patients of displaced calcaneal fractures (Sander's type II and III) treated between March 2009 and March 2012 were included in the retrospective review and functional outcome was evaluated using American Orthopaedic Foot and Ankle Society (AOFAS) hind foot score, Creighton Nebraska Health Foundation Assessment (CNHFA) scale and foot function index (FFI)...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27791971/functional-outcomes-after-operative-treatment-of-calcaneal-fractures-midterm-review
#10
Michael A Del Core, Emily Mills, Lisa K Cannada, David E Karges
The purpose of this article is to report midterm follow-up of operatively treated calcaneus fractures. All patients with a calcaneus fracture, treated with open reduction and internal fixation (ORIF) using the extensile lateral approach, were identified. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society's (AOFAS) ankle-hindfoot assessment, SF-36, and a questionnaire. There were 20 patients (25 fractures): 16 males and four females. The average age was 42 years (range, 16-73 years) and the mean follow-up time was 40 months (range, 13-73 months)...
December 0: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27441932/open-reduction-and-internal-fixation-of-the-tibial-plateau-through-the-anterolateral-approach
#11
Mark E Hake, James A Goulet
Fractures of the tibial plateau are challenging injuries to treat. The lateral tibial plateau is fractured more commonly than the medial plateau and the workhorse approach for these fractures is the anterolateral approach. This approach allows visualization of the lateral joint, metaphysis, and can be extensile if there is shaft extension. We present our technique for performing the anterolateral approach while treating a Schatzker III tibial plateau fracture. Special attention is given to performing a submeniscal arthrotomy to view the joint surface and judge the reduction...
August 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27299095/avascular-necrosis-of-acetabulum-the-hidden-culprit-of-resistant-deep-wound-infection-and-failed-fixation-of-fracture-acetabulum-a-case-report
#12
Kandhari V K, Desai M M, Bava S S, Wade R N
INTRODUCTION: Chances of avascular necrosis of acetabulum are rare as it enjoys a rich blood supply. But cases of post - traumatic avascular necrosis of acetabulum following fracture of posterior column have been well documented. Importance of identifying and suspecting the avascular necrosis of acetabulum is essential in cases of failed fixation of fracture acetabulum, previously operated using extensile approach to acetabulum; either extended anterior ilio - femoral or tri - radiate approach...
October 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27188696/radiographic-and-ct-assessment-of-reduction-of-calcaneus-fractures-using-a-limited-sinus-tarsi-incision
#13
Aaron T Scott, David A Pacholke, Kamran S Hamid
BACKGROUND: The lateral extensile incision for fixation of displaced intra-articular calcaneus fractures allows for fracture reduction but has been associated with high rates of soft tissue complications. This has prompted a search for less invasive methods of fracture fixation. The purpose of the present study was to determine the adequacy of reduction and rate of complications associated with operative fixation of calcaneal fractures using a limited sinus tarsi approach. METHODS: A limited sinus tarsi incision with plate fixation was utilized for treatment of 39 displaced intra-articular calcaneal fractures in 35 consecutive patients as part of a single surgeon series...
September 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27188694/radiographic-evaluation-of-ankle-joint-stability-after-calcaneofibular-ligament-elevation-during-open-reduction-and-internal-fixation-of-calcaneus-fracture
#14
Chien-Shun Wang, Yun-Hsuan Tzeng, Chun-Cheng Lin, Ching-Kuei Huang, Ming-Chau Chang, Chao-Ching Chiang
BACKGROUND: The aim of this prospective study was to evaluate the influence of sectioning the calcaneofibular ligament (CFL) during an extensile lateral approach during open reduction and internal fixation (ORIF) of calcaneal fractures on ankle joint stability. METHODS: Forty-two patients with calcaneal fractures that received ORIF were included. Talar tilt stress and anterior drawer radiographs were performed on the operative and contralateral ankles 6 months postoperatively...
September 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27033312/a-new-extensile-anterolateral-retroperitoneal-approach-for-lumbar-interbody-fusion-from-l1-to-s1-a-prospective-series-with-clinical-outcomes
#15
Sean Molloy, Joseph S Butler, Adam Benton, Karan Malhotra, Susanne Selvadurai, Obiekezie Agu
BACKGROUND CONTEXT: A variety of surgical approaches have been used for cage insertion in lumbar interbody fusion surgery. The direct anterior approach requires mobilization of the great vessels to access the intervertebral disc spaces cranial to L5/S1. With the lateral retroperitoneal transpsoas approach, it is difficult to access the L4/L5 intervertebral disc space due to the lumbar plexus and iliac crest, and L5/S1 is inaccessible. We describe a new anterolateral retroperitoneal approach, which is safe and reproducible to access the disc spaces from L1 to S1 inclusive, obviating the need for a separate direct anterior approach to access L5/S1...
June 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26810127/comparison-between-sinus-tarsi-approach-and-extensile-lateral-approach-for-treatment-of-closed-displaced-intra-articular-calcaneal%C3%A2-fractures-a-multicenter-prospective-study
#16
Attilio Basile, Francesco Albo, Alessio Giai Via
The purpose of our investigation was to prospectively review and compare the early outcomes of Sanders II and III closed displaced intra-articular calcaneal fractures (DIACFs) in a group of patients treated by open reduction and internal fixation with plate and screws using the extended lateral approach or the sinus tarsi approach (STA). Thirty-eight patients with DIACFs were prospectively enrolled and operatively treated using either the extended lateral approach or the STA. Patients underwent a careful clinical and radiographic examination and were evaluated according to the American Orthopaedic Foot and Ankle Society score, visual analog scale, and the Foot Function Index...
May 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26802813/irreducible-tongue-type-calcaneal-fracture-due-to-interposition-of-flexor-hallucis-longus
#17
John Wong-Chung, Diarmaid O'Longain, Matthew Lynch-Wong, Harriet Julian
We present a rare case of interposition of the flexor hallucis longus (FHL) tendon blocking percutaneous closed reduction of a displaced tongue-type calcaneal fracture, and necessitating open repositioning of the tendon and internal fixation through a single extensile lateral approach. Although not recognized until during surgery, with a high index of suspicion, preoperative diagnosis of this injury combination should be possible on high resolution CT, thus enabling better planning of the procedure. The presence of a small sustentacular fragment, especially if markedly displaced or rotated, should further alert the physician as to increased likelihood of such tendon entrapment within the fracture...
June 2016: Foot
https://www.readbyqxmd.com/read/26716083/coronal-shear-fractures-of-distal-humerus-diagnostic-and-treatment-protocols
#18
Ajay Pal Singh, Arun Pal Singh
Coronal shear fractures of distal humerus involving the capitellum and the trochlea are rare injuries with articular complexity, and are technically challenging for management. With better understanding of the anatomy and imaging advancements, the complex nature of these fractures is well appreciated now. These fractures involve metaphysealcomminution of lateral column and associated intraarticular injuries are common. Previously, closed reduction and excision were the accepted treatment but now preference is for open reduction and internal fixation with an aim to provide stable and congruent joint with early range of motion of joint...
December 18, 2015: World Journal of Orthopedics
https://www.readbyqxmd.com/read/26186311/extended-paratricipital-approach-for-intra-articular-fractures-of-the-distal-humerus
#19
Shai Shemesh, Mark Yan Loebenberg, Yona Kosashvili, Eliezer Sidon, Steven Velkes, Nir Cohen
This article describes an extensile surgical exposure to the distal humerus that is suitable for complex fractures involving the articular surface and extending into the humeral diaphysis proximal to the radial nerve. This method combines 2 approaches: olecranon osteotomy and the lateral paratricipital approach. This combination allows an appropriate exposure of both the articular surface and the humeral diaphysis up to the level of the deltoid tuberosity, while maintaining the extensor mechanism unharmed.
July 1, 2015: Orthopedics
https://www.readbyqxmd.com/read/26043245/the-spectrum-of-indications-for-subtalar-joint-arthrodesis
#20
REVIEW
Ettore Vulcano, J Kent Ellington, Mark S Myerson
The preferred surgical approaches to subtalar fusion are the sinus tarsi incision, the medial incision, and the extensile lateral approach. The choice of one over the other depends on the underlying pathology, previous surgeries, associated foot pathologies, soft tissue quality, and medical comorbidities. This article reports on several cases of subtalar joint fusion.
June 2015: Foot and Ankle Clinics
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