ArticleIndian journal of orthopaedics
The "Open-Envelope" Approach: A Limited Open Approach for Calcaneal Fracture Fixation.
Article in Indian journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 7 citations in OpenAlex.
- Steinmann pin retractor-assisted reduction with circle plate fixation via sinus tarsi approach for intra-articular calcaneal fractures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2019Article
- Complex Hindfoot and Ankle Trauma: The Management Status in 2018.Indian journal of orthopaedicsArticle
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4 authors at 3 institutions in 1 country.
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Abstract
backgroundMinimally invasive surgery (MIS) has a significant and evolving role in the treatment of displaced intra articular calcaneal fractures (DIACFs), but there is limited literature on this subject. The objective was hence to assess the clinicoradiological outcomes of DIACFs fixed with an innovative open-envelope MIS technique. MATERIALS AND
methods42 closed Sanders Type 2 and 3; DIACFs were included in this study. The Open-envelope approach was developed, which is essentially a limited open, dual incision, modified posterior longitudinal approach allowing excellent visualisation and direct fragment manipulation. The main outcome measures were American Orthopaedic Foot and Ankle Score (AOFAS) hindfoot score and preoperative and postoperative radiological angles.
resultsThe Bohler angle improved from a preoperative mean of 14.3° (range 0°-28°) to a postoperative mean of 32.46° (range 22°-42°). The Gissane angle improved from a preoperative mean of 135.83° to a postoperative mean of 128.33°. The postoperative improvement in Bohler and Gissane angles was highly significant (
conclusionsOpen-envelope technique minimized soft tissue complications and achieved acceptable radiological reductions with good clinical outcomes.
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