PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników

Czasopismo

2011 | 70 | 2 |

Tytuł artykułu

Lateral approach to the ankle and distal leg

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Fractures of the distal tibia are usually high-energy injuries and are well known for their soft tissue complications after surgery. Various factors have been studied regarding the possibility of them reducing the incidence of such damage, including timing of surgery, staged surgery, fixation method, and surgical approach. Less invasive surgical techniques with vascularity preserving approaches were proposed as reasonable solutions to this problem. The aim of this study was to investigate the presence of minor vascular structures, which can be preserved during anterolateral approach, possibly contributing to the success of the approach. Lateral approach for the distal tibia was performed in 22 cadaver feet. The mean distance between the lateral malleolus and the superficial peroneal nerve was 12.2 cm. Two different vascular pedicles, from peroneal vessels to muscles of the anterior compartment, were 4.3 and 8.2 cm away from the lateral malleolus, respectively. We conclude that preserving greater vascularity was possible in the lateral approach for the distal tibia, placing the plate in a completely submuscular plane. (Folia Morphol 2011; 70, 2: 91–94)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

70

Numer

2

Opis fizyczny

p.91-94,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Faculty of Medicine, Ankara University, Ankara, Turkey
autor
  • Department of Orthopaedics and Traumatology, Faculty of Medicine, Ankara University, Ankara, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Ankara University, Morfoloji binasi, 06100 Sihhiye, Ankara, Turkey
autor
  • Department of Orthopaedics and Traumatology, Faculty of Medicine, Ankara University, Ankara, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Ankara University, Ankara, Turkey
  • Department of Anatomy, Faculty of Medicine, Ankara University, Ankara, Turkey

Bibliografia

  • 1. Bhattacharyya T, Crichlow R, Gobezie R, Kim E, Vrahas MS (2006) Complications associated with the posterolateral approach for pilon fractures. J Orthop Trauma, 20: 104–107.
  • 2. Blauth M, Bastian L, Krettek C, Knop C, Evans S (2001) Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques. J Orthop Trauma, 15: 153–160.
  • 3. Borrelli J Jr, Ellis E (2002) Pilon fractures: assessment and treatment. Orthop Clin North Am, 33: 231–245.
  • 4. Brumbak RJ, McGarvey WC (1995) Fractures of the tibial plafond. Evolving treatment concepts for the pilon fracture. Orthop Clin North Am, 26: 273–285.
  • 5. Dillin L, Slabaugh P (1986) Delayed wound healing, infection, and nonunion following open reduction and internal fixation of tibial plafond fractures. J Trauma, 26: 1116–1119.
  • 6. Femino JE, Vaseenon T (2009) The direct lateral approach to the distal tibia and fibula: a single incision technique for distal tibial and pilon fractures. Iowa Orthop J, 29: 143–148.
  • 7. Grose A, Gardner MJ, Hettrich C, Fishman F, Lorich DG, Asprinio DE, Helfet DL (2007) Open reduction and internal fixation of tibial pilon fractures using a lateral approach. J Orthop Trauma, 21: 530–537.
  • 8. Helfet DL, Koval K, Pappas J, Sanders RW, DiPasquale T (1994) Intra-articular “pilon” fracture of the tibia. Clin Orthop, 298: 221–228.
  • 9. Kalenderer O, Günes O, Ozçalabi IT, Ozlük S (2003) Clinical results of tibial pilon fractures treated by open reduction and internal fixation. Acta Orthop Traumatol Turc, 37: 133–137.
  • 10. Konrath GA, Hopkins G (1999) Posterolateral approach for tibial pilon fractures: a report of two cases. J Orthop Trauma, 13: 586–589.
  • 11. Manninen MJ, Lindahl J, Kankare J, Hirvensalo E (2007) Lateral approach for fixation of the fractures of the distal tibia. Outcome of 20 patients. Technical note. Arch Orthop Trauma Surg, 127: 349–353.
  • 12. McFerran MA, Smith SW, Boulas HJ, Schwartz HS (1992) Complications encountered in the treatment of pilon fractures. J Orthop Trauma, 6: 195–200.
  • 13. Patterson MJ, Cole JD (1999) Two-staged delayed open reduction and internal fixation of severe pilon fractures. J Orthop Trauma, 13: 85–91.
  • 14. Redfern DJ, Sauve PS, Sakellariou A (2003) Investigation of incidence of superficial peroneal nerve injury following ankle fracture. Foot Ankle Int, 24: 771–774.
  • 15. Sirkin M, Sanders R (2001) The treatment of pilon fractures. Orthop Clin North Am, 32: 91–102.
  • 16. Teeny SM, Wiss DA (1993) Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop, 292: 108–117.

Uwagi

rekord w opracowaniu

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-b229fcb4-97a1-44d3-8582-8addf8a98216
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.