Safety and exposure area in three different posteromedial surgical approaches for the treatment of ankle fractures. A cadaveric study

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dc.catalogadorpau
dc.contributor.authorUrrutia, Tomás
dc.contributor.authorMorales, Sergio
dc.contributor.authorMendez, Magdalena
dc.contributor.authorFilippi, Jorge
dc.contributor.authorVidal, Catalina
dc.contributor.authorPalma, Joaquín
dc.date.accessioned2024-06-10T15:15:00Z
dc.date.available2024-06-10T15:15:00Z
dc.date.issued2024
dc.description.abstract© 2024 European Foot and Ankle SocietyIntroduction: This study aimed to compare the degree of posterior malleolar exposure, the tension of the flap containing the posteromedial neurovascular bundle (NVB), and the distance between the surgical incision and the NVB using three different posteromedial ankle approaches. Methods: Three approaches were compared: medial posteromedial (MePM) modified posteromedial (MoPM) and posteromedial (PM). We measured the minimal tension of the flap containing the NVB that allowed proper exposure. In the second stage, an axial cut was performed, and we measured the degree of posterior malleolar exposure and the distance between the incision and the NVB Results: There were significant differences between the three approaches examined regarding the degree of posterior malleolar exposure and distance from the incision to the NBV,favoring the PM approach (71,00% ± 1.83 and 25.50 mm ± 4.20). The PM approach provided a significantly lower tension to the flap containing the posteromedial NVB (6.18 N ± 1.28) compared to the other two approaches Conclusion: The PM approach achieved the highest degree of posterior malleolar exposure, the lowest tension to the posteromedial NVB, and the greatest distance between the incision and the NBV. Thus, we believe it should be considered the approach of choicefor large fractures of the posteromedial aspect of the PM.
dc.fuente.origenSCOPUS
dc.identifier.doi10.1016/j.fas.2024.04.009
dc.identifier.issn1460-9584
dc.identifier.scopusidSCOPUS_ID:85192263054
dc.identifier.urihttps://doi.org/10.1016/j.fas.2024.04.009
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/86662
dc.information.autorucEscuela de Medicina; Urrutia, Tomás; S/I; 1052479
dc.information.autorucEscuela de Medicina; Morales, Sergio; 0000-0002-7766-4097; 1035705
dc.language.isoen
dc.nota.accesocontenido parcial
dc.publisherElsevier Ltd
dc.revistaFoot and Ankle Surgery
dc.rightsacceso restringido
dc.subjectPosterior ankle surgical approaches
dc.subjectPosterior malleolar fractures
dc.subjectPosterior tibial malleolus
dc.subjectPosteromedial ankle approach
dc.subjectTibial pilon
dc.subjectTibial plafond
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleSafety and exposure area in three different posteromedial surgical approaches for the treatment of ankle fractures. A cadaveric study
dc.typeartículo
sipa.codpersvinculados1052479
sipa.codpersvinculados1035705
sipa.trazabilidadSCOPUS;2024-05-12
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