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Extended lateral approach for elective hind foot surgery--a safe and versatile incision
David Thyagarajan1, Ganesh Walkey, Andrew Kelly
1Department of Trauma and Orthopaedics, Southmead Hospital, North Bristol NHS Trust, UK. davidskt@yahoo.co.uk
Summary
The extended lateral approach for hind foot surgery is safe for non-traumatic conditions, showing a low incidence of wound complications. This surgical technique ensures reliable wound healing in foot disorder treatment.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
Background:
- Non-traumatic foot disorders require effective surgical interventions.
- The extended lateral approach is utilized for hind foot conditions.
Purpose of the Study:
- To review the safety and wound complication rates of the extended lateral approach in treating non-traumatic hind foot disorders.
Main Methods:
- Retrospective review of 51 consecutive patients undergoing the extended lateral approach.
- Documentation of surgical indications, comorbidities, and wound healing outcomes.
Main Results:
- A low rate of superficial wound infections (5.8%) and no deep infections or wound breakdowns.
- Minor complications included sensory changes near the scar and prominent hardware requiring screw removal in 11.7% of patients.
Conclusions:
- The extended lateral approach is a safe surgical option for various non-traumatic foot conditions.
- Reliable wound healing and a low complication rate are attributed to the surgical technique and arterial supply.