دورية أكاديمية
أعرض في EDS

Should the Extended Lateral Approach Remain Part of Standard Treatment in Displaced Intra-articular Calcaneal Fractures?

التفاصيل البيبلوغرافية
العنوان: Should the Extended Lateral Approach Remain Part of Standard Treatment in Displaced Intra-articular Calcaneal Fractures?
المؤلفون: Jansen SCP; Research Student, Department of Surgery and Traumatology, Catharina Hospital, Eindhoven, the Netherlands. Electronic address: scpjansen92@gmail.com., Bransen J; Fellowship Trauma Surgery, Department of Surgery and Traumatology, Catharina Hospital, Eindhoven, the Netherlands., van Montfort G; Trauma Surgeon, Department of Surgery and Traumatology, Catharina Hospital, Eindhoven, the Netherlands., Besselaar AT; Orthopedic Surgeon, Department of Orthopedic Surgery and Traumatology, Catharina Hospital, Eindhoven, the Netherlands., van der Veen AH; Trauma Surgeon, Department of Surgery and Traumatology, Catharina Hospital, Eindhoven, the Netherlands.
المصدر: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2018 Nov - Dec; Vol. 57 (6), pp. 1120-1124. Date of Electronic Publication: 2018 Sep 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 9308427 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1542-2224 (Electronic) Linking ISSN: 10672516 NLM ISO Abbreviation: J Foot Ankle Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2003- : Philadelphia : W.B. Saunders
Original Publication: Baltimore, MD : Williams & Wilkins, c1993-
مواضيع طبية MeSH: Calcaneus/*injuries , Fracture Fixation, Internal/*methods , Intra-Articular Fractures/*surgery , Open Fracture Reduction/*methods, Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Young Adult
مستخلص: The aim of this study was to evaluate the results of open reduction and internal fixation through the extended lateral approach (ELA) in displaced intra-articular calcaneal fractures and to determine whether this approach should remain part of standard therapy. This retrospective cohort study included 60 patients with 64 displaced intra-articular calcaneal fractures who underwent surgical treatment through the ELA. Outcome measures were the visual analog scale foot and ankle (VAS FA), the American Orthopedic Foot and Ankle Society (AOFAS) score, surgical site infections (SSIs), and reoperations. We determined the AOFAS score for 40 patients with 42 fractures, and 42 patients with 44 fractures completed the VAS FA questionnaire. The mean VAS FA score was 61.0 ± 23.4 and the median AOFAS score was 83 (range 33 to 100), with 55% good to excellent scores. We found 10.9% superficial SSIs successfully treated with antibiotics. In 4.7% of patients a deep SSI was diagnosed, wherefore premature implant removal was necessary. Patients with an SSI did not have significantly lower VAS FA or AOFAS scores than did patients without an SSI (p = .318 and p = .766, respectively). Implant removal in absence of SSIs was necessary in 17 patients because of pain, and 3 patients needed secondary arthrodesis because of persistent pain. We concluded that the ELA proved to be a safe procedure, and moreover the most common complications did not influence the long-term outcomes of patients. However, recent literature demonstrates that less invasive techniques seem to exceed the ELA with respect to wound complications.
(Copyright © 2018 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: calcaneus; joint depression; sural nerve; surgical procedure; traumatology
تواريخ الأحداث: Date Created: 20180913 Date Completed: 20190215 Latest Revision: 20190215
رمز التحديث: 20240829
DOI: 10.1053/j.jfas.2018.05.015
PMID: 30205938
قاعدة البيانات: MEDLINE
الوصف
تدمد:1542-2224
DOI:10.1053/j.jfas.2018.05.015