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Sinus tarsi approach

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https://www.readbyqxmd.com/read/27818800/new-technique-for-tibiotalar-arthrodesis-using-a-new-intramedullary-nail-device-a-cadaveric-study
#1
Emmanuel D Eisenstein, Mario Rodriguez, Amr A Abdelgawad
Introduction. Ankle arthrodesis is performed in a variety of methods. We propose a new technique for tibiotalar arthrodesis using a newly designed intramedullary nail. Methods. We proposed development of an intramedullary device for ankle arthrodesis which spared the subtalar joint using a sinus tarsi approach. Standard saw bones models and computer assisted modeling and stress analysis were used to develop different nail design geometries and determine the feasibility of insertion. After the final design was constructed, the device was tested on three cadaveric specimens...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27815335/removal-of-osteoid-osteoma-of-the-calcaneus-using-subtalar-arthroscopy
#2
Andrija Jurina, Damjan Dimnjaković, Tomislav Smoljanović, Ivan Bojanić
: Intra-articular calcaneal osteoid osteoma is a very rare condition and the diagnosis as well as the treatment is extremely challenging. We report a case of a 19-year-old male with intra-articular osteoid osteoma of the calcaneus, initially treated for peroneal tenosynovitis with unsatisfactory results. Thorough diagnostic procedure revealed the superolateral location of a calcaneal osteoid osteoma, near the sinus tarsi. A cherry-red elevated lesion typical of an osteoid osteoma nidus was completely removed arthroscopically using the anterolateral portal and the middle portal for subtalar arthroscopy...
November 4, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27603354/less-wound-complications-of-a-sinus-tarsi-approach-compared-to-an-extended-lateral-approach-for-the-treatment-of-displaced-intraarticular-calcaneal-fracture-a-randomized-clinical-trial-in-64-patients
#3
Lian-Hua Li, Yong-Zhi Guo, Hao Wang, Qing-Hua Sang, Jian-Zheng Zhang, Zhi Liu, Tian-Sheng Sun
BACKGROUND: We conducted a prospective randomized clinical trial to compare the clinical and radiological outcomes of the sinus tarsi and extended lateral approaches for the surgical treatment of displaced intraarticular calcaneal fractures. METHODS: Between January 2009 and January 2014, patients with displaced intraarticular calcaneal fracture were randomly assigned to receive surgical treatment by the sinus tarsi approach or the extended lateral approach using block randomization...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27524712/arthroscopic-subtalar-double-and-triple-fusion
#4
REVIEW
Richard Walter, Stephen Parsons, Ian Winson
Arthroscopic approaches to subtalar, double, and triple arthrodesis allow relative preservation of the soft tissue envelope compared with traditional open approaches. The surgical technique involving the use of a 4.5-mm 30° arthroscope via sinus tarsi portals is described. All 3 joints of the triple joint can be prepared for fusion with motorized burrs. Rigid fixation is achieved with cannulated screws. High union rates and low complication rates have been reported.
September 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27422705/comparison-of-percutaneous-cannulated-screw-fixation-and-calcium-sulfate-cement-grafting-versus-minimally-invasive-sinus-tarsi-approach-and-plate-fixation-for-displaced-intra-articular-calcaneal-fractures-a-prospective-randomized-controlled-trial
#5
Yongzeng Feng, Xiaolong Shui, Jianshun Wang, Leyi Cai, Yang Yu, Xiaozhou Ying, Jianzhong Kong, Jianjun Hong
BACKGROUND: The management of displaced intra-articular calcaneal fractures (DIACFs) remains challenging and controversial. A prospective randomized controlled trial was conducted to compare percutaneous reduction, cannulated screw fixation and calcium sulfate cement (PR+CSC) grafting with minimally invasive sinus tarsi approach and plate fixation (MISTA) for treatment of DIACFs. METHODS: Ultimately, 80 patients with a DIACFs were randomly allocated to receive either PR+CSC (N = 42) or MISTA (N = 38)...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27188696/radiographic-and-ct-assessment-of-reduction-of-calcaneus-fractures-using-a-limited-sinus-tarsi-incision
#6
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/27091338/-treatment-of-calcaneal-fractures-with-a-locking-nail%C3%A2-c-nail
#7
M Pompach, M Carda, M Amlang, H Zwipp
OBJECTIVE: Anatomic reconstruction of the posterior facet by primary stabilization of the calcaneal fracture with a locking nail. INDICATIONS: All intraarticular calcaneal fractures and unstable two-part fractures independent of the degree of closed/open soft tissue trauma. CONTRAINDICATIONS: High perioperative risk, soft tissue infection, beak fracture (type II fracture) and still open apophysis. SURGICAL TECHNIQUE: Anatomic reduction of the posterior facet using a sinus tarsi approach...
June 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27077059/intra-articular-calcaneal-fractures-a-clinical-and-biomechanical-analysis
#8
Marcos Emilio Kuschnaroff Contreras, Luciano Manoel Kroth, Keith Lúcia Kotani, Jorge Luiz Da Silva Junior, Mário Cesar De Andrade, Aluísio Otávio Vargas Ávila, Francisco José Berral
OBJECTIVE: Verify the variables of plantar pressure distribution of patients submitted to surgical procedure for calcaneal fracture, and correlate them with two different surgical approaches. METHOD: The authors studied 15 patients between 20 and 53 years of age (average 40.06 yrs.) who had intra-joint calcaneal fractures, submitted to surgical treatment by means of two different approaches: the lateral and the sinus tarsi. The authors checked the plantar pressure distribution by correlating these variables with the two different surgical approaches...
January 2009: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/26939988/-new-techniques-in-the-operative-treatment-of-calcaneal-fractures
#9
S Rammelt, M Amlang, A K Sands, M Swords
The ideal treatment of displaced intra-articular calcaneal fractures is still controversially discussed. Because of the variable fracture patterns and the vulnerable soft tissue coverage an individual treatment concept is advisable. In order to minimize wound edge necrosis associated with extended lateral approaches, selected fractures may be treated percutaneously or in a less invasive manner while controlling joint reduction via a sinus tarsi approach. Fixation in these cases is achieved with screws, intramedullary locking nails or modified plates that are slid in subcutaneously...
March 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/26901539/introduction-of-a-new-locking-nail-for-treatment-of-intraarticular-calcaneal-fractures
#10
Hans Zwipp, Libor Paša, Luboš Žilka, Michael Amlang, Stefan Rammelt, Martin Pompach
OBJECTIVES: To reduce the complication rate associated with open reduction and internal fixation of displaced intraarticular calcaneal fractures through extensile approaches, a locking nail system (C-Nail) was developed for internal fixation. DESIGN: Prospective case-control study. SETTING: Two level I trauma centers (university hospital) and 1 large regional hospital in the Czech Republic and Germany. PATIENTS: One hundred three patients (89 male and 14 female; mean age, 45...
March 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/26895251/-subtalar-arthrodesis
#11
R A Fuhrmann, T Pillukat
OBJECTIVE: Realignment and stabilization of the hindfoot by subtalar joint arthrodesis. INDICATIONS: Idiopathic/posttraumatic arthritis, inflammatory arthritis of the subtalar joint with/without hindfoot malalignment. Optional flatfoot/cavovarus foot reconstruction. CONTRAINDICATIONS: Inflammation, vascular disturbances, nicotine abuse. SURGICAL TECHNIQUE: Approach dependent on assessment. Lateral approach: Supine position...
June 2016: Operative Orthopädie und Traumatologie
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
#12
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/26458294/temporising-external-fixation-of-calcaneus-fractures-prior-to-definitive-plate-fixation-a-case-series
#13
Brian M Farrell, Carol A Lin, Charles N Moon
INTRODUCTION: Surgical management of calcaneus fractures is technically demanding and has a high risk of wound complications. These fractures are traditionally managed with splinting until swelling has subsided, which can take weeks and leaves the fracture fragments displaced. We describe a novel protocol for the management of displaced intraarticular calcaneus fractures that utilises a temporising external fixator and staged conversion to plate fixation through a sinus tarsi approach...
September 2015: Injury
https://www.readbyqxmd.com/read/26372552/minimally-invasive-sinus-tarsi-approach-with-cannulated-screw-fixation-combined-with-vacuum-assisted-closure-for-treatment-of-severe-open-calcaneal-fractures-with-medial-wounds
#14
RANDOMIZED CONTROLLED TRIAL
Taiyuan Zhang, Yan Yan, Xinmin Xie, Weidong Mu
The aim of our prospective study was to investigate the clinical results and advantages of a minimally invasive sinus tarsi approach with cannulated screw fixation combined with vacuum-assisted closure for the treatment of severe open calcaneal fractures with medial wounds. A total of 31 patients (32 feet) with open calcaneal fractures who were admitted to our hospital from January 2008 to May 2013 were selected for the study and randomly divided into 2 groups: the cannulated screw group (n = 16 patients, 16 feet) and the plate group (n = 15 patients, 16 feet)...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26148700/ankle-arthrodesis-from-lateral-transfibular-approach-analysis-of-treatment-results-of-23-feet-treated-by-the-modified-mann-s-technique
#15
Marek Napiontek, Tomasz Jaszczak
BACKGROUND: The aim of the study was to analyze the results of treatment by ankle arthrodesis by modified Mann's technique. METHODS: The study included 23 patients, and a total of 23 feet were treated. Stabilization of arthrodesis was performed by two screws going from the sinus tarsi to the talus and tibia. Lateral part of the fibula was fixed with one or two screws to the talus and tibia. No additional medial approach to the ankle was performed. In 16 feet, arthrodesis was done due to secondary posttraumatic osteoarthritis, in five due to paralytic drop foot and in two due to osteoarthritis of unknown etiology...
October 2015: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/26111874/advances-in-surgical-management-of-intra-articular-calcaneus-fractures
#16
REVIEW
Andrew R Hsu, Robert B Anderson, Bruce E Cohen
Intra-articular calcaneus fractures are commonly sustained after high-energy trauma, and a variety of techniques exists for anatomic reduction and surgical fixation. Traditional approaches using an extended L-shaped lateral incision with lateral plating for open reduction and internal fixation have relatively high complication rates. Common complications include hematoma formation, skin edge necrosis, wound breakdown, and superficial or deep infection. As a result, less invasive techniques have been developed in recent years, including limited-incision sinus tarsi open reduction and internal fixation, percutaneous fixation, and arthroscopic-assisted fixation...
July 2015: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/26043245/the-spectrum-of-indications-for-subtalar-joint-arthrodesis
#17
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
https://www.readbyqxmd.com/read/26034508/high-incidence-of-post-operative-infection-after-sinus-tarsi-approach-for-treatment-of-intra-articular-fractures-of-the-calcaneus-a-5%C3%A2-year-experience-in-an-academic-level-one-trauma-center
#18
Nathaniel Rawicki, Ryan Wyatt, Nicholas Kusnezov, Enes Kanlic, Amr Abdelgawad
BACKGROUND: The optimal management of displaced intra-articular calcaneal fractures remains a topic of debate among trauma surgeons. The purpose of this study was to assess the safety of the sinus tarsi approach in regard to the incidence of deep infection and amputation following open reduction and internal fixation intra-articular calcaneal fractures. METHODS: We conducted a retrospective chart review of all patients with displaced intra-articular calcaneus fractures treated with internal fixation through the sinus tarsi approach in a five year period...
2015: Patient Safety in Surgery
https://www.readbyqxmd.com/read/25886471/comparison-of-two-surgical-approaches-for-displaced-intra-articular-calcaneal-fractures-sinus-tarsi-versus-extensile-lateral-approach
#19
COMPARATIVE STUDY
Je-Hyoung Yeo, Hyun-Jong Cho, Keun-Bae Lee
BACKGROUND: Two common surgical approaches included the sinus tarsi and extensile lateral are used for displaced intra-articular calcaneal fractures. However, few studies have compared outcome of treated by the two approaches. The purpose of this study was to compare the outcome between these two approaches for Sanders type-II and type-III fractures. METHODS: This retrospective cohort study was performed from 2004 to 2011. Open reduction and internal fixation using the sinus tarsi and extensile lateral approach was studied in 100 cases (40 sinus tarsi and 60 extensile lateral) with displaced intra-articular calcaneal fractures...
March 19, 2015: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/25589541/effect-of-delay-to-definitive-surgical-fixation-on-wound-complications-in-the-treatment-of-closed-intra-articular-calcaneus-fractures
#20
MULTICENTER STUDY
John Y Kwon, Daniel Guss, Darius E Lin, Mostafa Abousayed, Clifford Jeng, Steve Kang, J Kent Ellington
BACKGROUND: There are conflicting data regarding the benefits of delaying operative fixation of calcaneus fractures to decrease wound complication rates. The purpose of this study was to examine the effect of delaying fixation on wound complication rates as well as to identify other risk factors. METHODS: A retrospective review at 4 institutions, including 24 surgeons, identified 405 closed, operatively treated, intra-articular calcaneus fractures. We compared fractures with and without wound complications with regards to patient demographics, medical risk factors, fracture severity, time to fixation, operative approach, primary subtalar arthrodesis, and surgeon experience...
May 2015: Foot & Ankle International
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