Wound Closure Technique for Lateral Extensile Approach to Intra-Articular Calcaneal Fractures

2008 ◽  
Vol 98 (5) ◽  
pp. 422-425 ◽  
Author(s):  
Shane Hollawell
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Sural Nerve ◽  
Wound Closure ◽  
Wound Dehiscence ◽  
Open Reduction Internal Fixation ◽  
Calcaneal Fractures ◽  
Closure Technique ◽  
Wound Closure Techniques ◽  
Extensile Approach

Multiple wound closure techniques have been described for a lateral extensile calcaneal incision in the literature. In this article, a technique is presented that involves a subcutilar closure over a closed drain system, which has proven to be effective in minimizing sural nerve injury and wound dehiscence in open reduction internal fixation of 20 calcaneal fractures. (J Am Podiatr Med Assoc 98(5): 422–425, 2008)

The Use of Dual C-Arms During Fixation of Calcaneal Fractures

2013 ◽  
Vol 7 (3) ◽  
pp. 207-209 ◽  
Author(s):  
Mostafa M. Abousayed ◽  
Rull James Toussaint ◽  
John Y. Kwon
Keyword(s):  
Internal Fixation ◽  
Expert Opinion ◽  
Open Reduction ◽  
Operative Time ◽  
Simple Technique ◽  
Intraoperative Imaging ◽  
Arm Movement ◽  
Open Reduction Internal Fixation ◽  
Calcaneal Fractures ◽  
Lateral Decubitus

We describe a simple technique using dual C-arms (large and mini C-arm together) for open reduction internal fixation of calcaneal fractures in the lateral decubitus position that (1) decreases the difficulty of obtaining proper intraoperative imaging; (2) limits C-arm movement, which decreases risk of contamination and operative time; and (3) minimizes the drawbacks of each imaging fluoroscopic modality. Levels of Evidence: Level V, Technical tip, Expert opinion

scholarly journals The Use of Cryopreserved Umbilical Cord in Open Reduction and Internal Fixation of Calcaneus Fractures.

2019 ◽  
pp. 1-6
Keyword(s):  
Internal Fixation ◽  
Umbilical Cord ◽  
Complication Rate ◽  
Open Reduction ◽  
Wound Complications ◽  
Control Group ◽  
Calcaneal Fractures ◽  
Operation Rate ◽  
Extensile Approach ◽  
Calcaneus Fractures

Abstract Calcaneal fractures are caused by a sudden, high-velocity impact on the heel [1]. The complication rate after open reduction and internal fixation of calcaneal fractures operated on by a lateral extensile approach range from 10 to 20%. Some of the worst perioperative complications associated with calcaneal fractures are tissue or bone infection, and/or wound complications. A retrospective review of 39 consecutive patients treated for calcaneus fracture by open reduction and internal fixation (ORIF) via a lateral extensile approach, was performed on 19 consecutive patients with 20 calcaneus fractures were treated with application of Clarix® cryopreserved umbilical cord (CUC) compared to a control group of 20 consecutive patients. The overall complication rate in the control group was 35%, compared to the cUC group of 10% (p=0.13). Additionally, the readmission rate and re-operation rate in the cUC group was lower than the control group (10% vs 30%, respectively; p=0.24). The use of cUC directly on the bone and hardware at the time of open reduction and internal fixation can be used as an adjunct to decrease wound complications, re-operations, and infection rates.

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