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Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025

Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study.

СтатьяМногоцентровое исследованиеСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Seaver Thomas M, Zeller Zachary, Tornetta Paul, Marcantonio Andrew J, Ment Alexander J, Mir Hassan R, McCaskey Meghan, Messner Mitchell K, Spitler Clay A, Hofer Erin L, Miller Anna N, Westberg Jerald, Downes Jessica M, Joseph Noah, Vallier Heather A, Suh Yu Min, Ostrum Robert F, Ollivere Benjamin, Ikram Adeel, Mullis Brian, Figueras Jorge, Friess Darin M, Sodders Emelia, Van Rysselberghe Noelle L, Gardner Michael J, Pawlak Amanda, Kottmeier Stephen, Morshed Saam, Lim Zachary, Malik Aden, Goodnough Lawrence H, Bunzel Eli W, Firoozabadi Reza, Yoon Patrick, Pottinger Todd, Johnson Pierce, Chaliki Kalyan

Аннотация

INTRODUCTION: The optimal surgical approach for intraarticular calcaneal fractures remains debated. This study compares deep infection rates between the extended lateral (EL) and sinus tarsi (ST) approaches.

METHODS: A retrospective review was conducted of 782 patients treated surgically for OTA 82B/C calcaneal fractures across 15 institutions. Deep infection was defined as requiring surgical débridement or treatment for osteomyelitis. Risk factors were identified using univariate and multivariate analyses.

RESULTS: Of 782 fractures, 444 were treated with EL and 338 with ST. Deep infections occurred in 6.8% of EL and 3.0% of ST cases (P = 0.017). Multivariate analysis found that surgical approach (P = 0.03) and age (P < 0.001) were independent risk factors. EL had more wound complications; ST had more symptomatic implants.

CONCLUSION: The ST approach was associated with lower rates of deep infection and wound complications, even in higher-risk patients.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты