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sinus tarsi approach to calcaneus fracture

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https://www.readbyqxmd.com/read/28918661/comparable-postoperative-pain-levels-using-2-different-nerve-blocks-in-the-operative-treatment-of-displaced-intra-articular-calcaneal-fractures
#1
Siem A Dingemans, Kristian J de Ruiter, Merel F N Birnie, J Carel Goslings, Gan van Samkar, Tim Schepers
BACKGROUND: The aim of this study was to compare the postoperative pain levels in patients undergoing osteosynthesis of the calcaneus with either a popliteal nerve block or an ankle block. METHODS: A retrospective analysis of all consecutive patients undergoing operative fixation of a calcaneal fracture via a sinus tarsi approach between August 2012 and April 2017 in a single foot/ankle specialized center was performed. Single-shot popliteal blocks were placed using ultrasound guidance by an anesthesiologist while ankle blocks were placed by a foot/ankle specialized surgeon...
September 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28790476/surgical-treatment-of-sanders-type-2-calcaneal-fractures-using-a-sinus-tarsi-approach
#2
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/28276647/clinical-comparison-of-extensile-lateral-approach-and-sinus-tarsi-approach-combined-with-medial-distraction-technique-for-intra-articular-calcaneal-fractures
#3
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/28267907/-imaging-of-the-calcaneus-applied-to-the-internal-fixation-of-fractures-by-a-sinus-tarsi-approach
#4
G Slullitel, J Calvi, A Calvo, M Seletti, V López, V Álvarez
OBJECTIVE: The mini-invasive technique, through a sinus tarsi approach (STA), has become an increasingly popular choice for the treatment of calcaneal fractures. However, despite the good results reported, the complications related with internal fixation have not yet been analyzed. Using 3D reconstruction CT scans, we proposed doing biometric description of the calcaneus with the purpose of performing osteosynthesis as treatment for calcaneal fractures. METHODS: A total of 24 CT scans were retrospectively obtained from 22 consecutive patients with healthy calcanei and no history of surgery or fracture...
July 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28167067/early-fixation-of-calcaneus-fractures
#5
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/28166172/sanders-ii-iii-calcaneus-fractures-in-laborers-a-cost-effectiveness-analysis-and-call-for-effectiveness-research
#6
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
https://www.readbyqxmd.com/read/28010733/minimally-invasive-sinus-tarsi-approach-for-calcaneal-fractures
#7
Zhe Wang, Xiu Hui Wang, Sheng Long Li, Xin Tang, Bei Gang Fu, Ming Hui Wang, Sheng Li Xia
BACKGROUND: According to the anatomic characteristics of the calcaneus and the sinus tarsi approach, we designed a combined plate. The goal of this study was to retrospectively assess the functional outcomes and complications of treatment with our self-designed plate. METHODS: From March 2014 to October 2015, 18 patients with closed calcaneal fractures (14 Sanders type II and 4 type III) were treated with our combined locking plate through a minimally invasive sinus tarsi approach...
December 23, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27188696/radiographic-and-ct-assessment-of-reduction-of-calcaneus-fractures-using-a-limited-sinus-tarsi-incision
#8
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
#9
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/26939988/-new-techniques-in-the-operative-treatment-of-calcaneal-fractures
#10
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/26458294/temporising-external-fixation-of-calcaneus-fractures-prior-to-definitive-plate-fixation-a-case-series
#11
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/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
#12
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/25589541/effect-of-delay-to-definitive-surgical-fixation-on-wound-complications-in-the-treatment-of-closed-intra-articular-calcaneus-fractures
#13
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
https://www.readbyqxmd.com/read/25219845/minimally-invasive-sinus-tarsi-approach-for-open-reduction-and-internal-fixation-of-intra-articular-calcaneus-fractures-in-children-surgical-technique-and-case-report-of-two-patients
#14
Amr A Abdelgawad, Enes Kanlic
Calcaneus fractures in children differ from those in adults. Most calcaneus fractures in children can be managed nonoperatively, with good long-term results expected. The width and height of the calcaneus can remodel with time in children. Recently, there has been a trend toward operative treatment of displaced intra-articular fractures of the calcaneus in children to correct the articular deformity. Studies of calcaneal fracture fixation in children used an extended lateral approach, with its possible complications...
January 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/24607889/open-reduction-and-internal-fixation-with-conventional-plate-via-l-shaped-lateral-approach-versus-internal-fixation-with-percutaneous-plate-via-a-sinus-tarsi-approach-for-calcaneal-fractures-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Shengli Xia, Yaogang Lu, Huizhong Wang, Zuming Wu, Ziping Wang
OBJECTIVE: We aimed to compare the clinical outcomes of intra-articular calcaneus fractures treated with open reduction and internal fixation with conventional plate via L-shaped lateral approach (routine treatment) versus those with percutaneous plate via a sinus tarsi approach (minimally invasive treatment). METHODS: One hundred and seventeen displaced intra-articular calcaneal fractures in 108 patients from January 2007 and September 2010 were randomly allocated to receive routine treatment (49 patients) or minimally invasive treatment (59 patients)...
2014: International Journal of Surgery
https://www.readbyqxmd.com/read/24605736/-treatment-of-intra-articular-calcaneal-fractures-by-minimally-invasive-through-the-sinus-tarsi-approach-and-external-fixation-with-calcaneal-locking-plates
#16
Hui Huang, Xiao-Qiang Zhuang, Yu Bai, Sheng-Lin Lu, Fang Xu
OBJECTIVE: To investigate the clinical results and the superiority of minimally invasive sinus tarsi approach andABSTRACT Objective :To investigate the clinical results and the superiority of minimally invasive sinus tarsi approach and external fixation with calcaneal locking plates for the treatment of the intra-articular calcaneal fracture. METHODS: From July 2011 to August 2012, 12 cases (13 feet) were treated by sinus tarsi approach and external fixation with calcaneal locking plates...
November 2013: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/24553886/displaced-intra-articular-calcaneal-fractures-treated-in-a-minimally-invasive-fashion-longitudinal-approach-versus-sinus-tarsi-approach
#17
RANDOMIZED CONTROLLED TRIAL
Tao Zhang, Yanling Su, Wei Chen, Qi Zhang, Zhanpo Wu, Yingze Zhang
BACKGROUND: The optimal treatment for displaced intra-articular fractures of the calcaneus remains controversial. This study aims to assess the clinical outcomes of a minimally invasive longitudinal approach compared with the sinus tarsi approach in the surgical treatment of these fractures. METHODS: Patients with a displaced intra-articular fracture of the calcaneus who were admitted to the trauma center of our hospital from September 2009 through April 2010 were randomly assigned to treatment using one of these two surgical techniques...
February 19, 2014: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/24317115/-operative-treatment-of-displaced-intra-articular-calcaneal-fractures
#18
H Zwipp, S Rammelt, M Amlang, M Pompach, C Dürr
OBJECTIVE: Anatomic reduction of displaced intra-articular calcaneal fractures with restoration of height, length, and axial alignment and reconstruction of the subtalar and calcaneocuboid joints. INDICATIONS: Displaced intra-articular calcaneal fractures with incongruity of the posterior facet of the subtalar joint, loss of height, and axial malalignment. CONTRAINDICATIONS: High perioperative risk, soft tissue infection, advanced peripheral arterial disease (stage III), neurogenic osteoarthropathy, poor patient compliance (e...
December 2013: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/24151194/limited-sinus-tarsi-approach-for-intra-articular-calcaneus-fractures
#19
Christian Kikuchi, Timothy P Charlton, David B Thordarson
BACKGROUND: Operative treatment of calcaneal fractures has a historically high rate of wound complications, so the most optimal operative approach has been a topic of investigation. This study reviews the radiographic and clinical outcomes of the use of the sinus tarsi approach for operative fixation of these fractures with attention to the rate of infection and restoration of angular measurements. METHODS: The radiographs and charts of 20 patients with 22 calcaneal fractures were reviewed to assess for restoration of angular and linear dimensions of the calcaneus as well as time to radiographic union...
December 2013: Foot & Ankle International
https://www.readbyqxmd.com/read/24103451/a-minimally-invasive-sinus-tarsi-approach-with-percutaneous-plate-and-screw-fixation-for-intra-articular-calcaneal-fractures
#20
Shengli Xia, Xiuhui Wang, Yaogang Lu, Huizhong Wang, Zuming Wu, Ziping Wang
According to characteristic of anatomical structure of calcaneus and sinus tarsi approach, the minimally invasive plate for treatment of displaced intra-articular calcaneal fractures had been designed. Here we aimed to review the effect of this treatment. Forty intra-articular calcaneal fractures in 38 patients from September 2006 to September 2008 were treated with percutaneous plate via sinus tarsi approach under the monitoring of C-shaped arms. All calcaneal anatomical parameters, including height, width, length, Böhlers angle and Gissane angle were measured by X-ray before and after surgery...
2013: International Journal of Surgery
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