ArticleCanadian journal of surgery. Journal canadien de chirurgie
Soft tissue complications following extensile lateral compared with minimally invasive surgical approaches in the operative treatment of calcaneus fractures.
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Buttress plating of plantar medial tuberosity calcaneus fractures through a medial approach: surgical technique and case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- An internally validated nomogram for predicting impaired wound healing after calcaneal fracture surgery in patients with type 2 diabetes Mellitus.Frontiers in surgery · 2026Article
- Article
- Early Surgery and Screw-Only Osteosyntheses in Minimally Invasive Treatment of Calcaneal Fractures-Risk or Benefit for Our Patients?Journal of clinical medicine · 2025Article
- Analysis of the clinical efficacy of "dynamic hook technique" combined with the Allgower-Donati suture method in the surgical incision for calcaneal fractures.Frontiers in surgery · 2025Article
- Arthroscopic-assisted reduction and fixation of calcaneal fractures using sustentaculum tali and medial wall screws.Frontiers in surgery · 2025Article
- Emergency surgery of intra-articular calcaneal fractures using sinus tarsi approach with modified reduction technique.BMC musculoskeletal disorders · 2023Article
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4 authors.
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Abstract
backgroundExtensile lateral (ELA) and minimally invasive surgical (MIS) approaches are commonly used in the operative fixation of calcaneus fractures. The ELA has been the standard of care, but is associated with a high risk of wound complications. Minimally invasive surgical approaches have been developed to reduce these complications.
methodsWe completed a retrospective chart review of 201 patients with calcaneus fractures repaired by either ELA or MIS approaches between 2011 and 2018. We compared the incidence of soft tissue complications, including wound infections (requiring no surgical treatment) and deep infections (requiring surgical intervention), and performed multivariate regression analysis to determine independent risk factors associated with soft tissue complications and reoperation.
resultsThe overall incidence of soft tissue complications was 8.1% in the MIS group compared with 28.8% in the ELA group (
conclusionThe ELA is associated with an increased incidence of soft tissue complications and reoperation when compared with the MIS approach. The ELA and open fractures were found to be independent risk factors of soft tissue complications and reoperation. Surgeons treating calcaneus fractures should consider using a MIS technique, provided they are able to achieve the goals of surgical management without the ELA.
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