Clinics in podiatric medicine and surgery
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Clin Podiatr Med Surg · Oct 2008
ReviewPercutaneous fixation of forefoot, midfoot, hindfoot, and ankle fracture dislocations.
Open reduction with rigid internal fixation is the basic principle for surgical management in foot and ankle trauma. High-risk patients present a surgical dilemma for the foot and ankle surgeon because the possible complications are magnified in this patient population. ⋯ The significant advantages of percutaneous fixation include minimizing damage to the vascular supply, maintaining and preserving a stable soft tissue envelope, and decreasing the potential risk for infection. This article provides an overview of percutaneous surgical fixation methods and their role in foot and ankle trauma for the high-risk patient.
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Clin Podiatr Med Surg · Oct 2008
ReviewPercutaneous reduction and external fixation for foot and ankle fractures.
Percutaneous reduction with external fixation is an advanced technique for surgical management in foot and ankle trauma. In the high-risk patient, closed or percutaneous reduction followed by external fixation for reduction and stabilization is a unique alternative to achieve anatomic stabilization without increased physical strain to the patient. The significant advantages of this approach include minimizing damage to the vascular supply, maintaining and preserving a stable soft tissue envelope, and allowing for correction to be performed acutely or adjusted gradually over time. This article provides an overview of closed or percutaneous reduction with limited soft tissue dissection and external fixation stabilization techniques, and their role in foot and ankle trauma for the high-risk patient.