Effectiveness of MIS technique as a treatment modality for open intra-articular calcaneal fractures: A prospective evaluation with matched closed fractures treated by conventional technique

Dhillon, Mandeep Singh; Gahlot, Nitesh; Satyaprakash, Sambit; Kanojia, Ravi Prakash

doi:10.1016/j.foot.2015.05.002

Cited by 5 publications

(1 citation statement)

References 31 publications

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“… 2 10 11 12 Minimally invasive or limited open approaches attempt to reach the middle ground between the classical extensile exposure and nonoperative management. 2 These can vary from percutaneous techniques 13 14 15 to limited open sinus tarsi approaches 16 17 involving Kirschner wires (K-wires), screws, or plates with results comparable to the extensile approach and a lower prevalence of wound complications. The very fact that several approaches have been described makes it amply clear that there is no “one size fits all” for calcaneal fractures with the treatment being tailored to the individual patient.…”

Section: Introductionmentioning

confidence: 99%

The “Open-Envelope” Approach: A Limited Open Approach for Calcaneal Fracture Fixation

Prabhakar

Dhillon

Khurana

et al. 2018

IJOO

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Background:Minimally invasive surgery (MIS) has a significant and evolving role in the treatment of displaced intra articular calcaneal fractures (DIACFs), but there is limited literature on this subject. The objective was hence to assess the clinicoradiological outcomes of DIACFs fixed with an innovative open-envelope MIS technique.Materials and Methods:42 closed Sanders Type 2 and 3; DIACFs were included in this study. The Open-envelope approach was developed, which is essentially a limited open, dual incision, modified posterior longitudinal approach allowing excellent visualisation and direct fragment manipulation. The main outcome measures were American Orthopaedic Foot and Ankle Score (AOFAS) hindfoot score and preoperative and postoperative radiological angles.Results:The Bohler angle improved from a preoperative mean of 14.3° (range 0°–28°) to a postoperative mean of 32.46° (range 22°–42°). The Gissane angle improved from a preoperative mean of 135.83° to a postoperative mean of 128.33°. The postoperative improvement in Bohler and Gissane angles was highly significant (P < 0.001). The AOFAS scores at 6 months were excellent in nine patients, good in 15 patients, and fair in six patients. Three patients had residual valgus deformity of the heel.Conclusions:Open-envelope technique minimized soft tissue complications and achieved acceptable radiological reductions with good clinical outcomes.

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