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Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach.

Publication ,  Journal Article
Schweitzer, KM; Gaskill, TR; Easley, ME; Nunley, JA
Published in: JBJS Essent Surg Tech
2011

INTRODUCTION: Although displaced intra-articular calcaneal fractures were historically treated nonoperatively because of unreliable outcomes, they are now commonly treated with open reduction and internal fixation (ORIF). STEP 1 PREOPERATIVE PLANNING AND OPERATIVE SETUP: Coronal images are most helpful. STEP 2 INCISION AND SOFT-TISSUE MANAGEMENT: Elevate the flap using the "no-touch" technique to minimize wound complications. STEP 3 REDUCE POSTERIOR FACET AND PERFORM PROVISIONAL STABILIZATION: Achieve anatomic reduction of the medial calcaneal wall before proceeding with the remainder of the fracture reduction. STEP 4 APPLY LAG FIXATION AND A LATERAL NEUTRALIZATION PLATE: Use a traditional nonlocking plate and be sure that at least one lag screw achieves purchase. STEP 5 CLOSE WOUND: Use the "no-touch" technique, with the goal of tension-free wound closure. STEP 6 POSTOPERATIVE CARE: Watch closely for drainage or delayed healing. RESULTS & PREOP/POSTOP IMAGES: ORIF is a viable treatment option for displaced intra-articular calcaneal fractures without contraindication for older patients. WHAT TO WATCH FOR: IndicationsContraindicationsPitfalls & Challenges.

Duke Scholars

Published In

JBJS Essent Surg Tech

DOI

ISSN

2160-2204

Publication Date

2011

Volume

1

Issue

2

Start / End Page

e7

Location

United States

Related Subject Headings

  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Schweitzer, K. M., Gaskill, T. R., Easley, M. E., & Nunley, J. A. (2011). Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach. JBJS Essent Surg Tech, 1(2), e7. https://doi.org/10.2106/JBJS.ST.K.00012
Schweitzer, Karl M., Trevor R. Gaskill, Mark E. Easley, and James A. Nunley. “Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach.JBJS Essent Surg Tech 1, no. 2 (2011): e7. https://doi.org/10.2106/JBJS.ST.K.00012.
Schweitzer KM, Gaskill TR, Easley ME, Nunley JA. Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach. JBJS Essent Surg Tech. 2011;1(2):e7.
Schweitzer, Karl M., et al. “Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach.JBJS Essent Surg Tech, vol. 1, no. 2, 2011, p. e7. Pubmed, doi:10.2106/JBJS.ST.K.00012.
Schweitzer KM, Gaskill TR, Easley ME, Nunley JA. Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach. JBJS Essent Surg Tech. 2011;1(2):e7.

Published In

JBJS Essent Surg Tech

DOI

ISSN

2160-2204

Publication Date

2011

Volume

1

Issue

2

Start / End Page

e7

Location

United States

Related Subject Headings

  • 3202 Clinical sciences