已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Quality of Reduction of Displaced Intra-articular Calcaneal Fractures Using a Sinus Tarsi Versus Extensile Lateral Approach.

跟骨骨折 关节内 还原(数学) 外科 跟骨 脚踝 内固定 固定(群体遗传学)
作者
Gennadiy Busel,Hassan R. Mir,Stephanie Merimee,Raahil Patel,Omar H. Atassi,Guadalupe De La Fuente,David Donohue,Ben Maxson,Anthony Infante,Anjan R. Shah,D. W. Watson,Katheryne Downes,Roy Sanders
出处
期刊:Journal of Orthopaedic Trauma [Lippincott Williams & Wilkins]
卷期号:35 (6): 285-288 被引量:2
标识
DOI:10.1097/bot.0000000000001971
摘要

OBJECTIVE To evaluate the difference in the quality of fracture reduction between the sinus tarsi approach (STA) and extensile lateral approach (ELA) using postoperative Computed Tomography (CT) scans in displaced intra-articular calcaneal fractures (DIACFs). DESIGN Retrospective. SETTING Level 1 and level 2 academic centers. PATIENTS Consecutive patients undergoing operative fixation of DIACFs with postoperative CT scans and standard radiographs. METHODS Patients were identified based on Current Procedural Terminology code and chart review. All operative calcaneal fractures treated between 2012 and 2018 by fellowship-trained orthopaedic trauma surgeons were evaluated. Those with both postoperative CT scans and radiographs were included. Exclusion criteria included extra-articular fractures, malunions, percutaneous fixation, ORIF and primary fusion, and those patients without a postoperative CT scan. The Sanders classification was used. Cases were divided into 2 groups based on ELA versus STA. Bohler angle and Gissane angle were evaluated on plain radiographs. CT reduction quality grading included articular step off/gap within the posterior facet, and varus angulation of the tuberosity: CT reduction grading included: excellent (E): no gap, no step, and no angulation; good (G): 3 mm step, >10 mm gap, and/or >15° angulation. RESULTS Seventy-seven patients with 83 fractures were included. Average age was 42 years (range, 18-74 years), with 57 men. Four fractures were open. There were 37 Sanders II and 46 Sanders III fractures; 36 fractures were fixed using the STA, whereas 47 used the ELA. Average days to surgery were 5 for STA and 14 for ELA (P < 0.001). A normal Bohler angle was achieved more often with the ELA (91.5%) than with STA (77.8%) (P < 0.001). There was no difference by approach for Gissane angle (P = 0.5). ELA had better overall reduction quality (P = 0.02). For Sanders II, there was no difference in reduction quality with STA versus ELA (P = 0.51). For Sanders III, ELA trended toward better reduction quality (P = 0.06). CONCLUSIONS The ELA had a better overall reduction of Bohler angle on plain radiographs and of the posterior facet and tuberosity on postoperative CT scans. For Sanders type II DIACFs, there was no difference between STA and ELA. Importantly, for Sanders III DIACFs, ELA trended toward better reduction quality. In addition to fracture reduction, surgeon learning curve, early wound complications, and long-term outcomes must be considered in future studies comparing the ELA and STA. LEVEL OF EVIDENCE Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
xiaohuangya发布了新的文献求助10
1秒前
3秒前
科研通AI2S应助学术djw采纳,获得10
5秒前
明理囧完成签到 ,获得积分10
6秒前
辉哥完成签到,获得积分10
7秒前
量子星尘发布了新的文献求助10
9秒前
喂喂完成签到,获得积分10
10秒前
15秒前
dochx完成签到,获得积分10
16秒前
18秒前
chenlc971125完成签到 ,获得积分10
19秒前
20秒前
整齐海秋发布了新的文献求助10
21秒前
21秒前
24秒前
Mingchun发布了新的文献求助10
26秒前
123完成签到,获得积分10
28秒前
学术djw发布了新的文献求助10
28秒前
冷风完成签到 ,获得积分10
30秒前
天天快乐应助怡然的烤鸡采纳,获得10
32秒前
34秒前
酷波er应助温暖元容采纳,获得10
34秒前
彼岸花开发布了新的文献求助10
36秒前
Lucas应助深情断秋采纳,获得10
42秒前
甜蜜发带完成签到 ,获得积分10
44秒前
能干宛秋完成签到,获得积分10
48秒前
程住气完成签到 ,获得积分10
50秒前
50秒前
keyantong发布了新的文献求助10
53秒前
54秒前
54秒前
华仔应助科研通管家采纳,获得10
54秒前
58秒前
稳重惜灵发布了新的文献求助10
59秒前
59秒前
1分钟前
nieinei完成签到 ,获得积分10
1分钟前
栀夏完成签到,获得积分10
1分钟前
1分钟前
domingo发布了新的文献求助10
1分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3976600
求助须知:如何正确求助?哪些是违规求助? 3520674
关于积分的说明 11204470
捐赠科研通 3257316
什么是DOI,文献DOI怎么找? 1798683
邀请新用户注册赠送积分活动 877861
科研通“疑难数据库(出版商)”最低求助积分说明 806595