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sinus tarsi approach to calcaneus fracture

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https://www.readbyqxmd.com/read/27188696/radiographic-and-ct-assessment-of-reduction-of-calcaneus-fractures-using-a-limited-sinus-tarsi-incision
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/24027484/nerve-injury-and-pain-after-operative-repair-of-calcaneal-fractures-a-literature-review
#14
REVIEW
Jaclyn Haugsdal, Jeremiah Dawson, Phinit Phisitkul
Peripheral nerve injury is a common problem in foot and ankle surgery. We look at evidence of nerve injury as it relates to different operative approaches to the fractured calcaneus. The direct lateral, extended lateral, smile, sinus tarsi, and percutaneous approaches are discussed and the reported incidence of nerve injury in each is identified. We expect to identify divergent rates of injury between approaches and stimulate further investigation into prevention and treatment.
2013: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/23460669/minimally-invasive-technique-versus-an-extensile-lateral-approach-for-intra-articular-calcaneal-fractures
#15
COMPARATIVE STUDY
Alex J Kline, Robert B Anderson, W Hodges Davis, Carroll P Jones, Bruce E Cohen
BACKGROUND: The optimal method for treating intra-articular fractures of the calcaneus remains controversial. Extensile approaches allow excellent fracture exposure, but high rates of wound complications are seen. Newer minimally invasive techniques for calcaneus fracture fixation offer a potentially lower wound complication rate, but long-term clinical results are not available. The aim of this study was to compare the outcomes of intra-articular calcaneus fractures treated with open reduction and internal fixation via an extensile approach versus those with a minimally invasive sinus tarsi approach...
June 2013: Foot & Ankle International
https://www.readbyqxmd.com/read/23131437/mini-open-sinus-tarsi-approach-with-percutaneous-screw-fixation-of-displaced-calcaneal-fractures-a-prospective-computed-tomography-based-study
#16
Tomasz Nosewicz, Markus Knupp, Alexej Barg, Mario Maas, Lilianna Bolliger, J Carel Goslings, Beat Hintermann
BACKGROUND: Open reduction and internal fixation (ORIF) of calcaneal fractures using an extended lateral approach results in soft tissue disruption and theoretically subtalar joint stiffness. A minimally invasive sinus tarsi approach for posterior facet exposure and percutaneous screw fixation of the calcaneal body has been implemented. This report details the reduction and stability of the internal fixation resulting from this approach. METHODS: Twenty-one consecutive patients (18 male, 3 female, 45 ± 16 years) with 22 calcaneal fractures underwent ORIF with minimal exposure through the sinus tarsi for reduction, lateral plate fixation, and percutaneous screw fixation...
November 2012: Foot & Ankle International
https://www.readbyqxmd.com/read/21336854/the-sinus-tarsi-approach-in-displaced-intra-articular-calcaneal-fractures-a-systematic-review
#17
REVIEW
Tim Schepers
PURPOSE: Although open reduction and internal fixation is currently considered the gold standard in surgical treatment of displaced intra-articular calcaneal fractures, various different approaches exist including the limited lateral approach. The aim of this systematic review was to combine the results of studies using the sinus tarsi approach, which is the most frequently applied limited lateral approach. METHOD: A literature search in the electronic databases of the Cochrane Library and Pubmed Medline, between January 1st 2000 to December 1st 2010, was conducted to identify studies in which the sinus tarsi approach or a modified sinus tarsi approach was utilized for the treatment of displaced intra-articular calcaneal fractures...
May 2011: International Orthopaedics
https://www.readbyqxmd.com/read/21045990/modification-of-the-sinus-tarsi-approach-for-open-reduction-and-plate-fixation-of-intra-articular-calcaneus-fractures-the-limits-of-proximal-extension-based-upon-the-vascular-anatomy-of-the-lateral-calcaneal-artery
#18
John E Femino, Tanawat Vaseenon, David A Levin, Edward H Yian
The treatment of displaced calcaneal fractures remains controversial. Early surgical management to restore articular congruence and the structural function of the calcaneus is widely accepted as the best way to avoid the negative consequences of malunion. Concerns remain however regarding the best approach for reducing and maintaining reduction of these complex fractures, while minimizing the risk of surgical complications. The potential for serious wound complications is a major concern, particularly breakdown of the lateral calcaneal skin flap with the extensile lateral approach...
2010: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/14587988/the-modified-palmer-lateral-approach-for-calcaneal-fractures-wound-healing-and-postoperative-computed-tomographic-evaluation-of-fracture-reduction
#19
Anuj Gupta, Navid Ghalambor, Aneel Nihal, Elly Trepman
In 32 consecutive intra-articular calcaneal fractures (28 patients, 4 bilateral), open treatment was done using the modified Palmer lateral approach and the reduction was assessed with postoperative radiography and computed tomography (CT) (coronal and axial images, 1-2 days after surgery). Retrospective analysis of the available radiographs and CT scans was done in 27 fractures (25 patients, 2 bilateral) to assess accuracy of reduction achieved; in five fractures the studies were not available. Sanders classification was type I in 2 (7%), type II in 20 (74%), and type III in 5 (19%) fractures; the calcaneocuboid joint was involved in 9 (33%) fractures...
October 2003: Foot & Ankle International
https://www.readbyqxmd.com/read/10694021/sinus-tarsi-approach-with-trans-articular-fixation-for-displaced-intra-articular-fractures-of-the-calcaneus
#20
N A Ebraheim, H Elgafy, F F Sabry, M Freih, I S Abou-Chakra
The charts and radiographs of 99 patients with 106 intraarticular fractures of the calcaneus were retrospectively reviewed. There were 75 men and 24 women. The average age was forty-two (range, 17 to 81). Fifty-seven of the fractures were left and 49 were right. The mechanism of injury was a fall from a height in 69 patients and motor vehicle accident in 30 patients. According to Sanders classification, seventy-one cases (67%) had type II fractures, 25 cases (23.6%) had type III, and ten cases (9.4%) had type IV...
February 2000: Foot & Ankle International
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