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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Related Experiment Video

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A Mouse Distraction Osteogenesis Model
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Modified extensile calcaneal exposure is safe.

Chuansheng Fu1, Baofu Wei1, Hongjian Pei1

  • 1Department of Hand and Foot Surgery, Linyi People's Hospital, Linyi.

Cirugia Y Cirujanos
|October 14, 2024
PubMed
Summary
This summary is machine-generated.

Open reduction and internal fixation using a modified tarsal sinus incision effectively treats displaced intra-articular calcaneal fractures, improving hindfoot function and radiographic angles.

Keywords:
AOFAS hindfoot function scoreBohler’s angleCalcaneal fractureFractura de calcáneoHook curvy incisionIncisión curvada en ganchoPuntuación AOFAS de función del retropiéÁngulo de Bohler

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery

Background:

  • Displaced intra-articular calcaneal fractures are complex injuries requiring precise surgical management.
  • Traditional surgical approaches may involve extensive soft tissue dissection and potential complications.

Purpose of the Study:

  • To evaluate the efficacy of open reduction and internal fixation for displaced intra-articular calcaneal fractures using a modified tarsal sinus incision.
  • To assess the functional and radiographic outcomes of this surgical technique.

Main Methods:

  • A retrospective review of 25 patients with intra-articular calcaneal fractures treated with open reduction and internal fixation.
  • Surgical intervention utilized a modified lateral hook curvy incision.
  • Clinical data and radiographic measurements were analyzed over a 3-year period.

Main Results:

  • 80% of patients achieved excellent outcomes based on the AOFAS hindfoot scoring criteria.
  • Significant improvement in average Bohler's angle (pre-op: 6.8°, follow-up: 33.6°) and Gissane angle (pre-op: 89.2°, follow-up: 115.5°).
  • Functional outcomes included 2 good, 2 fair, and 1 poor result.

Conclusions:

  • The modified tarsal sinus (lateral hook curvy) incision provides adequate exposure for the posterior articular surface of the calcaneus and calcaneocuboid joint.
  • This approach minimizes soft tissue stripping and avoids calcaneus valgus.
  • The technique demonstrates favorable functional and radiographic outcomes for displaced intra-articular calcaneal fractures.