![]() It allows access to the posterior facet and posterior calcaneal tuberosity, appropriate restoration of blowout lateral wall, and easy placement of a standard calcaneal plate. ![]() ![]() Diagnosis is made with the NIH Consensus Development Conference Statement criteria with the. This modified 2-incision STA is a safe and effective procedure. Neurofibromatosis is an autosomal dominant disorder caused by a mutation in the NF1 gene that codes for the neurofibromin protein that typically presents with skin lesions, lower and upper extremity deformities, and spinal involvement. Major complications included 2 (5.9%) wound infections and 1 (2.9%) incomplete separation of the lateral wall prior to plate insertion. The average American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analogue scale (VAS) pain score at last follow-up were 86.2 ± 5.0 (range, 76-97) and 1.6 ± 1.1 (range, 0-4), respectively. Mean preoperative Böhler's angle was 1.5 ± 10.0 (range, -26.0-16.9) degrees and mean final Böhler's angle was 29.8 ± 4.9 (range, 19.3-39.3) degrees with significant difference (P <. goal is to restore calcaneus height, width, alignment, and articular surface Extremity Exam. Thirty-four feet of 33 patients treated between 20 were included with an average follow-up of 28.5 (range, 12-65) months. Serial radiographic measurements and clinical assessment were taken to evaluate the effectiveness of this technique. Patients had a Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification 82-C, Sanders type II, III calcaneal fracture, and underwent modified 2-incision STA and internal fixation were included in this retrospective study. The goal of the present study is to describe a modified 2-incision STA and to evaluate the radiographic and clinical outcomes in the treatment of DIACF. However, there are some limitations related to its limited access. The resulting complications of infection, malunion, and nonunion, and the possible need for amputation, made most surgeons believe that treatment should be nonoperative.Sinus tarsi approach (STA) is the most commonly used minimally invasive surgery (MIS) in the treatment of displaced intra-articular calcaneal fracture (DIACF). Anesthesia was not always effective, radiography and fluoroscopy were not well developed, antibiotics did not exist, and a sound understanding of the principles of internal fixation was lacking. Combined hindfoot injuries Further reading 3 Open fractures, Compartment syndrome, Infections 3 Body. Despite the fact that Böhler advocated open reduction in 1931, the principal reasons for the predominance of nonoperative treatment were the technical problems associated with operative treatment. Although initially they were enthusiastic about this technique, by the 1920s they had abandoned the treatment of acute fractures altogether and had turned instead to the treatment of healed malunions. McLaughlin agreed, likening attempts at operative fixation to the “nailing of a custard pie to the wall.”76 Cotton and Wilson recommended closed treatment with use of a medially placed sandbag, a laterally placed felt pad, and a hammer to reduce the lateral wall and “reimpact” the fracture. In this article, the current thinking regarding the treatment of these very difficult fractures will be reviewed.Īs early as 1908, Cotton and Wilson suggested that open reduction of a calcaneal fracture was contraindicated. ![]() Although modern operative intervention has improved the outcome in many patients, there still is no real consensus on classification, treatment, operative technique, or postoperative management. Many authors have reported that patients may be totally incapacitated for as long as three years and partially impaired for as long as five years after the injury. BACKGROUND: The sustentacular fragment in displaced intra-articular calcaneal fractures has historically been portrayed as a constant fragment, bound to. Most calcaneal fractures occur in male industrial workers, making the economic importance of this injury substantial.
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