"Smile" incision: an approach for open reduction and internal fixation of calcaneal fractures.
Foot Ankle Int
; 26(8): 590-2, 2005 Aug.
Article
em En
| MEDLINE
| ID: mdl-16115413
ABSTRACT
MATERIALS A consecutive group of 73 patients (77 calcaneal fractures) treated with open reduction and internal fixation through a smile-shaped lateral approach to the hindfoot were reviewed retrospectively. Inclusion criteria were a closed displaced intra-articular fracture of the calcaneus, no compartment syndrome, and adequate followup. Followup ranged from 4 months to 4 years. RESULTS:
One patient had a deep wound infection that required removal of hardware and intravenous antibiotics. No deep dehiscence or flap necrosis occurred. Superficial dehiscence occurred in three patients (4%) and superficial necrosis was seen in nine patients (12%); all resolved with continued casting to protect the wound. Six patients (8%) complained of numbness or pain in the sural nerve distribution. No symptomatic neuromas were seen. Reflex sympathetic dystrophy occurred in three patients (4%); all resolved with sympathetic blocks. Only one patient required an additional procedure for treatment of a wound-related problem or infection.CONCLUSION:
The "smile" incision provides good fracture exposure for reduction without added morbidity.
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Base de dados:
MEDLINE
Assunto principal:
Calcâneo
/
Fraturas Ósseas
/
Fixação Interna de Fraturas
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article