Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

Özdemir, Güzelali; Devecı, Alper; Arslantaş, Emrah; Turan, Sualp; Ciliz, A.

doi:10.5812/soj.63077

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Open reduction internal fixation (ORIF) via extensile lateral approach is the classic procedure for this fracture, but with increased risk of skin complications [10]. In recent years, the minimally invasive sinus tarsi approach has gained considerable popularity among surgeons operating on those fractures [11,12]. Many surgeons have reported on using k-wires [3], Screws [4] through this approach.…”

Section: Discussionmentioning

confidence: 99%

Update of Surgical Turbinectomy versus Coblation Turbinectomy

2023

Al-Azhar University Journal of Virus Researches and Studies

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Intra-articular fractures of the calcaneus are one of the most challenging fractures to orthopedic surgeons. To achieve anatomical reduction of the subtalar joint, maintaining length & alignment to achieve a good functional outcome. In this series, the sinus tarsi approach was the standard approach by which the patients were treated. This study included 23 patients with unilateral intra-articular fracture calcaneus. The patients will treat by open reduction and internal fixation through minimal invasive sinus tarsai approach using miniplate and cannulated screws for fixation. All patients were evaluated clinically (Using AOFAS ankle / hindfoot score) and radiologically. The mean follows up duration was 6 months. Immediate postoperative X-rays showed anatomical articular reduction. In this study the mean AOFAS ankle/hindfoot score was 83±4. The mean follows up duration was 6 months. Complications included superficial wound infection in two patients and hardware irritation in two patients. In this study minimally invasive sinus tarsi approach gives good reduction aided by percutaneous reduction and screw fixation. The technique is more effective in patients with type II & III Sander's classification especially in risky patients. The timing of operation can be as soon as possible. Reduced rate of soft tissue morbidity and good range of motion are possible with these techniques compared with the extensile lateral procedure.

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Section: Discussionmentioning

confidence: 99%

Update of Surgical Turbinectomy versus Coblation Turbinectomy

2023

Al-Azhar University Journal of Virus Researches and Studies

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“…In recent years, MIS techniques have gained considerable popularity in many orthopedic practices [18,19]. Giannini et al reviewed the advantage and disadvantages of different MIS techniques in the treatment of calcaneus fracture.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Minimally-Invasive Sinus Tarsi Approach for the Treatment of Intra-articular Calcaneal Fracture

Shariatzadeh

Valiollahi

Mohammadpour

et al. 2020

J. Res. Orthop. Sci.

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Background: Open reduction and internal fixation is the standard surgical treatment of calcaneal fractures. However, it is associated with a high rate of wound problems. Objectives: In this study, we evaluated the clinical and radiologic outcomes, as well as the wound complication rates of sinus tarsi minimally-invasive approach in the treatment of intra-articular calcaneus fracture. Methods: In a retrospective study, 62 patients who were referred with an intra-articular calcaneus fracture and treated with a minimally-invasive sinus tarsi approach were included. The radiographic evaluations included the assessment of Bohler and Gissane angles before and after the surgery, as well as the height and length of the calcaneus. The clinical outcome was assessed with the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire. Results: The Mean±SD age of the patients was 41.8±12.7 years. The Mean±SD follow-up of the patients was 21.3±10 ‎months. After 6 months, in 43 patients (69.3%) both Bohler’s and Gissane’s angles were significantly improved after the surgery (P=0.003 and P<0.001, respectively). The calcaneus height was significantly improved after the surgery (P=0.009), as well. The Mean±SD AOFAS score of the patients was found 79.6±7. Wound infection was seen in only 1 case (1.6%). Delayed wound healing occurred in 4 cases (6.4%). No other wound complication such as dehiscence and skin necrosis was recorded. Conclusion: Minimally-invasive sinus tarsi approach is an efficacious procedure for the treatment of intra-articular calcaneus fracture with a minimized rate of wound complications.

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Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

Cited by 2 publications

References 24 publications

Update of Surgical Turbinectomy versus Coblation Turbinectomy

Update of Surgical Turbinectomy versus Coblation Turbinectomy

Outcomes of Minimally-Invasive Sinus Tarsi Approach for the Treatment of Intra-articular Calcaneal Fracture

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