Sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fracture: a meta-analysis of current evidence base

Yao, Hui; Tang, Liang; Xu, Yang; Hao, Gang; Liu, Lulu; Zhang, Junbin

doi:10.1186/s13018-017-0545-8

Cited by 53 publications

(46 citation statements)

References 40 publications

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“…The third patient was a delayed presentation at 8 months post surgery with uncontrolled sugars requiring debridement. Thus, though the wound complication rate appears to be lower than the reported recently in a large meta analysis of up to 16.5% in a conventional extensile approach, 22 a longer followup with a larger patient cohort would be required to confirm this apparent benefit in wound management.…”

Section: Discussionmentioning

confidence: 66%

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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Section: Discussionmentioning

confidence: 66%

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

Prabhakar

Dhillon

Khurana

et al. 2018

IJOO

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“…For minimal invasive methods, it varies between 1.9% and 41.7% and for ORIF between 1.7% and 23.1%. [24] According to our data, six patients (4.54%) needed revision surgery. Five patients had subtalar arthrodesis, while one patient had lateral wall exostectomy.…”

Section: Discussionmentioning

confidence: 70%

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Baca

Koluman

2019

Eklem Hastalik Cerrahisi

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ÖZ Amaç: Bu çalışmada deplase eklem içi kalkaneus kırıklarının hızlı, daha az karmaşık ve modifiye edilmiş perkütan bir teknikle cerrahi olarak tedavisinin sonuçları değerlendirildi. Hastalar ve yöntemler: Bu retrospektif çalışmaya Mayıs 2012 ve Haziran 2016 tarihleri arasında kliniğimize kalkaneus kırığı nedeniyle başvuran ve iki çapraz Schanz vidası ile kapalı redüksiyon ve perkütan tespit kullanılarak ameliyat edilen 114 hasta (86 erkek, 28 kadın; ort. yaş 39 yıl; dağılım, 16-66 yıl) dahil edildi. Travma tipi, ek yaralanmalar, tıbbi komorbiditeler, ameliyat öncesi ve sonrası dönem, ameliyat süresi, kemik iyileşmesine kadar geçen süre, komplikasyonlar, ameliyat sonrası fonksiyonel ve radyolojik sonuçlar değerlendirildi. Bulgular: Ameliyat sonrası Bohler açısı ölçümlerindeki artış ameliyat öncesi değerlere kıyasla istatistiksel olarak anlamlı idi (p= 0.001; p<0.01). Sanders sınıflamasına göre yedi ayak (%5.3) tip II, 76 ayak (%57.57) tip III ve 49 ayak (%37.12) tip IV idi. Ortalama Amerikan Ortopedik Ayak-Ayak Bileği Derneği (AOFAS) skoru 80.4 (dağılım, 47-92) idi. Sanders sınıflamasına göre ortalama AOFAS skorları tip II için 81.25, tip III için 81.88 ve tip IV için 80.19 idi. Ortalama ameliyat süresi 8±1.5 dakika idi. Sonuç: Modifiye perkütan teknik ile açık redüksiyonun kontrendike olduğu durumlarda bile iyi sonuçlar alınabilir. Dizilimin sağlanması ve çökmüş eklem içi parçanın yükseltilmesi, anatomik redüksiyon olmadan iyi orta dönem sonuçları için yeterli olabilir. Anahtar sözcükler: Kalkaneus kırığı, eklem içi kırık, minimal invaziv cerrahi, perkütan tespit. ABSTRACTObjectives: This study aims to review the results of surgically treated displaced intra-articular calcaneal fractures with a fast, less complicated, and modified percutaneous technique. Patients and methods: This retrospective study included 114 patients (86 males, 28 females; mean age 39 years; range, 16 to 66 years) admitted to our clinic for calcaneal fractures between May 2012 and June 2016 and operated using closed reduction and percutaneous fixation with two crossed Schanz pins. Trauma type, additional injuries, medical comorbidities, pre-and postoperative period, duration of operation, time to bone healing, complications, postoperative functional and radiological results were evaluated. Results: The increase in the postoperative Bohler's angle measurements was statistically significant compared to preoperative values (p= 0.001; p<0.01). According to Sanders classification, seven feet (5.3%) were type II, 76 feet (57.57%) were type III, and 49 feet (37.12%) were type IV. The mean American Orthopaedic Foot and Ankle Society (AOFAS) score was 80.4 (range, 47 to 92). According to Sanders classification, the mean AOFAS scores were 81.25 for type II, 81.88 for type III, and 80.19 for type IV. Mean duration of operation was 8±1.5 minutes. Conclusion: Modified percutaneous fixation can give good results, even when open reduction is contraindicated. Maintaining the alignment and elevating the depressed intraarticular fragment may be sufficient fo...

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“…Many doctors prefer to use minimally invasive surgery to treat freshly closed calcaneal fracture [1,2]. In this procedure, the surgeon often performs closed reduction of the fracture or open reduction with a small incision, in conjunction with percutaneous xation [3].…”

Section: Introductionmentioning

confidence: 99%

Patient-specific instrument-assisted minimally invasive internal fixation of calcaneal fracture for rapid and accurate execution of a preoperative plan: A retrospective study

Wang

et al. 2020

Preprint

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Background: Traditional methods for minimally invasive internal fixation (MIIF) of calcaneal fractures require extensive intraoperative fluoroscopy, and fracture recovery is usually not ideal. We developed a new surgical procedure using digital surgical simulation and constructed a patient-specific instrument (PSI) for calcaneal fracture that we used during the operation. This study investigated whether PSI-assisted MIIF of calcaneal fracture enables rapid and accurate execution of the preoperative plan.Methods: We retrospectively analyzed patients with Sanders type III or IV fresh calcaneal fractures who had undergone PSI-assisted MIIF at our hospital from January 2016 to December 2018. We analyzed perioperative data including intraoperative fluoroscopy time, concurrence of internal fixation actual usage (IFAU) with the preoperative plan, surgery time, and complications. We also compared pre- and postoperative actual measurements from X-ray radiographs and computed tomography images including Böhler, Gissane, and calcaneus valgus angles; subtalar joint width; and calcaneal volume overlap ratio with the preoperative design. All patients had been followed up and their American Orthopedic Foot and Ankle Score (AOFAS) score was available.Results: Mean intraoperative fluoroscopy time was 3.95±1.78 h; IFAU in 16 patients (16 feet) was the same as the preoperative plan; mean surgery time was 28.16±10.70 min; and none of the patients developed complications. Böhler, Gissane, and calcaneus valgus angles and subtalar joint width did not differ between pre- and postoperative plans; however, the actual preoperative values of each of these parameters differed significantly from those measured postoperatively. The calcaneal volume overlap ratio with the preoperative design was 91.2%±2.3%. AOFAS scores increased with time, with significant differences in the score at each time point.Conclusions: The newly developed PSI-assisted calcaneal fracture MIIF method can rapidly and accurately execute the preoperative plan.

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Sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fracture: a meta-analysis of current evidence base

Cited by 53 publications

References 40 publications

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

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

Modified percutaneous fixation for displaced intra-articular calcaneal fractures

Patient-specific instrument-assisted minimally invasive internal fixation of calcaneal fracture for rapid and accurate execution of a preoperative plan: A retrospective study

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