Modified extensile calcaneal exposure is safe.

Cirugia y cirujanos Pub Date : 2024-01-01 DOI:10.24875/CIRU.23000580

Chuansheng Fu, Baofu Wei, Hongjian Pei, Cunyin Xue, Jijuan Zhou, Guodong Zhong

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Abstract

Objective: The objective of this study was to evaluate the effect of open reduction and internal fixation for displaced intra-articular calcaneal fractures through a modified tarsal sinus incision.

Methods: A retrospective review over 3 years of the clinical data of patients with intra-articular calcaneal fractures treated with open reduction and internal fixation through lateral hook curvy incisions. The efficacy of the 25 lateral hook curvy incisions was analyzed.

Results: According to the AOFAS hindfoot function scoring criteria, there were 20 excellent (80%), 2 good (8%), 2 fair (8%), and 1 poor patient outcome. The average pre-operative Bohler's angle was 6.8 ± 8.9°, and the average angle at follow-up was 33.6 ± 5.7°. The average pre-operative Gissane angle was 89.2 ± 20.0°, and the average angle at follow-up was 115.5 ± 5.5°.

Conclusions: A lateral hook curvy incision can expose the posterior articular surface of the calcaneus and the calcaneocuboid joint, reduce stripping and pulling of the soft tissue, and avoid calcaneus valgus caused by the pulling of the peroneus tendon.

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改良的伸展式钙楔暴露是安全的。

研究目的本研究旨在评估通过改良的跗骨窦切口对移位的关节内小关节骨折进行切开复位和内固定的效果：方法：回顾性分析关节内小关节骨折患者通过侧钩曲线切口行切开复位内固定术治疗 3 年来的临床数据。分析了25种外侧钩形切口的疗效：根据 AOFAS 后足功能评分标准，患者疗效为优 20 例（80%）、良 2 例（8%）、一般 2 例（8%）、差 1 例。术前 Bohler's 角度平均为 6.8 ± 8.9°，随访时的平均角度为 33.6 ± 5.7°。术前 Gissane 角平均为 89.2 ± 20.0°，随访时的平均角度为 115.5 ± 5.5°：结论：侧钩弧形切口可以暴露小腿后侧关节面和小腿臼关节，减少软组织的剥离和牵拉，避免腓肠肌肌腱牵拉造成的小腿外翻。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia y cirujanos

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