The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach
<h3>Introduction</h3><p dir="ltr">Calcaneus is the most commonly fractured tarsal bone. Open reduction and internal fixation of the displaced intra-articular fractures is considered the gold standard treatment. The lateral extensile approach is the most commonly used appr...
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| مؤلفون آخرون: | , , , , , , , |
| منشور في: |
2024
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| _version_ | 1864513544617197568 |
|---|---|
| author | Hammam Kayali (14146797) |
| author2 | Isam Moghamis (14150247) Mohammed Radi (16367589) Omar Baroudi (21633452) Ashraf Hantouly (14150289) Ahmad Toubasi (21633455) Mazen A. Foodoul (21633458) Mohammed Alkhayarin (21633461) Ghalib Ahmed (14146800) |
| author2_role | author author author author author author author author |
| author_facet | Hammam Kayali (14146797) Isam Moghamis (14150247) Mohammed Radi (16367589) Omar Baroudi (21633452) Ashraf Hantouly (14150289) Ahmad Toubasi (21633455) Mazen A. Foodoul (21633458) Mohammed Alkhayarin (21633461) Ghalib Ahmed (14146800) |
| author_role | author |
| dc.creator.none.fl_str_mv | Hammam Kayali (14146797) Isam Moghamis (14150247) Mohammed Radi (16367589) Omar Baroudi (21633452) Ashraf Hantouly (14150289) Ahmad Toubasi (21633455) Mazen A. Foodoul (21633458) Mohammed Alkhayarin (21633461) Ghalib Ahmed (14146800) |
| dc.date.none.fl_str_mv | 2024-01-24T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00590-023-03829-y |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_role_of_patient_positioning_in_surgical_fixation_of_the_calcaneus_fractures_using_the_lateral_extensile_approach/29445974 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Calcaneal fracture Lateral extensile approach Prone position Lateral position Calcaneus fixation |
| dc.title.none.fl_str_mv | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Introduction</h3><p dir="ltr">Calcaneus is the most commonly fractured tarsal bone. Open reduction and internal fixation of the displaced intra-articular fractures is considered the gold standard treatment. The lateral extensile approach is the most commonly used approach, and usually, the patients are kept in lateral decubitus position. Recent study has descried calcaneus fracture fixation utilizing the lateral extensile approach with the patient in prone position. The aim of this study was to compare the postoperative radiological outcome, reoperation rate, operative and anesthesia time, infection and the wound complications rate between the two groups.</p><h3>Methods</h3><p dir="ltr">The data of 49 adult patients with unilateral closed calcaneus fracture underwent open reduction and internal fixation using lateral extensile approach were collected. Postoperative Bohler’s, Gissane angles and complications rate were compared between the two groups.</p><h3>Results</h3><p dir="ltr">A total of 49 patients were included. Lateral position was utilized in 26 patients (53.1%), while 23 patients (46.9%) were operated in prone position. Majority of the patients were males 87.8% (43 patients), and the mean age of the patients was 31.12 ± 7.50. The most commonly mechanism of injury was fall from height in (91.8%) of the patients.</p><p dir="ltr">The mean preoperative Bohler’s angle was 9.33 ± 13.07 and increased to 22.69 ± 9.15 postoperatively. The mean preoperative angle of Gissane was 130.45 ± 26.98 whereas it was 124.76 ± 17.20 postoperatively. The mean postoperative Bohler’s angle and angle of Gissane were significantly higher among patient who underwent fixation in lateral position (25.88 ± 6.62, 137.15 ± 11.17) when compared to the prone one (19.09 ± 10.35, 110.74 ± 10.81). There was no significant difference between the two groups regarding the reoperation rate (<i>p</i> 0.947), infection (p 0.659, operative time (<i>p</i> 0.688), anesthesia time (<i>p</i> 0.522) and wound complications (<i>p</i> 0.773).</p><h3>Conclusion</h3><p dir="ltr">Surgical restoration of the Bohler’s and Gissane’s angles with the patient placed in the lateral decubitus position remains superior to the prone position with no difference in the complication rate between the two groups.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00590-023-03829-y" target="_blank">https://dx.doi.org/10.1007/s00590-023-03829-y</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_f7aceb58af07bde1cf3caec8b7dde11d |
| identifier_str_mv | 10.1007/s00590-023-03829-y |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29445974 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approachHammam Kayali (14146797)Isam Moghamis (14150247)Mohammed Radi (16367589)Omar Baroudi (21633452)Ashraf Hantouly (14150289)Ahmad Toubasi (21633455)Mazen A. Foodoul (21633458)Mohammed Alkhayarin (21633461)Ghalib Ahmed (14146800)Biomedical and clinical sciencesClinical sciencesCalcaneal fractureLateral extensile approachProne positionLateral positionCalcaneus fixation<h3>Introduction</h3><p dir="ltr">Calcaneus is the most commonly fractured tarsal bone. Open reduction and internal fixation of the displaced intra-articular fractures is considered the gold standard treatment. The lateral extensile approach is the most commonly used approach, and usually, the patients are kept in lateral decubitus position. Recent study has descried calcaneus fracture fixation utilizing the lateral extensile approach with the patient in prone position. The aim of this study was to compare the postoperative radiological outcome, reoperation rate, operative and anesthesia time, infection and the wound complications rate between the two groups.</p><h3>Methods</h3><p dir="ltr">The data of 49 adult patients with unilateral closed calcaneus fracture underwent open reduction and internal fixation using lateral extensile approach were collected. Postoperative Bohler’s, Gissane angles and complications rate were compared between the two groups.</p><h3>Results</h3><p dir="ltr">A total of 49 patients were included. Lateral position was utilized in 26 patients (53.1%), while 23 patients (46.9%) were operated in prone position. Majority of the patients were males 87.8% (43 patients), and the mean age of the patients was 31.12 ± 7.50. The most commonly mechanism of injury was fall from height in (91.8%) of the patients.</p><p dir="ltr">The mean preoperative Bohler’s angle was 9.33 ± 13.07 and increased to 22.69 ± 9.15 postoperatively. The mean preoperative angle of Gissane was 130.45 ± 26.98 whereas it was 124.76 ± 17.20 postoperatively. The mean postoperative Bohler’s angle and angle of Gissane were significantly higher among patient who underwent fixation in lateral position (25.88 ± 6.62, 137.15 ± 11.17) when compared to the prone one (19.09 ± 10.35, 110.74 ± 10.81). There was no significant difference between the two groups regarding the reoperation rate (<i>p</i> 0.947), infection (p 0.659, operative time (<i>p</i> 0.688), anesthesia time (<i>p</i> 0.522) and wound complications (<i>p</i> 0.773).</p><h3>Conclusion</h3><p dir="ltr">Surgical restoration of the Bohler’s and Gissane’s angles with the patient placed in the lateral decubitus position remains superior to the prone position with no difference in the complication rate between the two groups.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00590-023-03829-y" target="_blank">https://dx.doi.org/10.1007/s00590-023-03829-y</a></p>2024-01-24T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00590-023-03829-yhttps://figshare.com/articles/journal_contribution/The_role_of_patient_positioning_in_surgical_fixation_of_the_calcaneus_fractures_using_the_lateral_extensile_approach/29445974CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/294459742024-01-24T09:00:00Z |
| spellingShingle | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach Hammam Kayali (14146797) Biomedical and clinical sciences Clinical sciences Calcaneal fracture Lateral extensile approach Prone position Lateral position Calcaneus fixation |
| status_str | publishedVersion |
| title | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach |
| title_full | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach |
| title_fullStr | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach |
| title_full_unstemmed | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach |
| title_short | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach |
| title_sort | The role of patient positioning in surgical fixation of the calcaneus fractures using the lateral extensile approach |
| topic | Biomedical and clinical sciences Clinical sciences Calcaneal fracture Lateral extensile approach Prone position Lateral position Calcaneus fixation |