{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:59Z","timestamp":1787019059254,"version":"build-2736575974"},"reference-count":46,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2003,10,1]],"date-time":"2003-10-01T00:00:00Z","timestamp":1064966400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2003,10]]},"abstract":"<jats:p>In 32 consecutive intra-articular calcaneal fractures (28 patients, 4 bilateral), open treatment was done using the modified Palmer lateral approach and the reduction was assessed with postoperative radiography and computed tomography (CT) (coronal and axial images, 1\u20132 days after surgery). Retrospective analysis of the available radiographs and CT scans was done in 27 fractures (25 patients, 2 bilateral) to assess accuracy of reduction achieved; in five fractures the studies were not available. Sanders classification was type I in 2 (7%), type II in 20 (74%), and type III in 5 (19%) fractures; the calcaneocuboid joint was involved in 9 (33%) fractures. Reduction included elevation of the depressed lateral side of the posterior facet, reduction of the neck (anterior third of calcaneus) to the body (middle third of calcaneus), realignment of the posterior tuberosity, and reduction of lateral wall blowout; internal fixation was done with cannulated screws. Mean (\u00b1SD) values of the following displacement parameters were significantly improved after surgery: B\u00f6hler's angle, posterior facet angle, lateral posterior facet articular depression, heel width (coronal CT), and calcaneal height. There was no significant difference between preoperative and postoperative values of mean angle of Gissane, posterior tuberosity position, and body width and length on axial CT. One (3%) of the 32 fractures was associated with preoperative (traumatic) full-thickness skin necrosis at the sinus tarsi that required free muscle flap coverage. One (3%) postoperative wound healing complication occurred, consisting of wound dehiscence and drainage at the central portion of the surgical wound in a smoker, which resolved with dressing changes and antibiotics. In conclusion, the modified Palmer lateral approach enabled open reduction of major features of calcaneal fractures with less soft-tissue risk than more extensile approaches.<\/jats:p>","DOI":"10.1177\/107110070302401003","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T14:56:31Z","timestamp":1484319391000},"page":"744-753","source":"Crossref","is-referenced-by-count":72,"title":["The Modified Palmer Lateral Approach for Calcaneal Fractures: Wound Healing and Postoperative Computed Tomographic Evaluation of Fracture Reduction"],"prefix":"10.1177","volume":"24","author":[{"given":"Anuj","family":"Gupta","sequence":"first","affiliation":[{"name":"Atlanta, GA; Orange, CA; Hull, East Yorkshire, UK; Winnipeg, Manitoba, Canada"},{"name":"Presented in part at the 67th Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 15\u201317, 2000"},{"name":"Orthopaedic Surgeon, Peachtree Orthopaedic Clinic, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navid","family":"Ghalambor","sequence":"additional","affiliation":[{"name":"Atlanta, GA; Orange, CA; Hull, East Yorkshire, UK; Winnipeg, Manitoba, Canada"},{"name":"Presented in part at the 67th Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 15\u201317, 2000"},{"name":"Orthopaedic Surgeon, The Hand Care Center, Orange, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aneel","family":"Nihal","sequence":"additional","affiliation":[{"name":"Atlanta, GA; Orange, CA; Hull, East Yorkshire, UK; Winnipeg, Manitoba, Canada"},{"name":"Presented in part at the 67th Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 15\u201317, 2000"},{"name":"Consultant Orthopaedic Surgeon, Hull Royal Infirmary, Hull, East Yorkshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elly","family":"Trepman","sequence":"additional","affiliation":[{"name":"Atlanta, GA; Orange, CA; Hull, East Yorkshire, UK; Winnipeg, Manitoba, Canada"},{"name":"Presented in part at the 67th Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 15\u201317, 2000"},{"name":"Associate Professor, Section of Orthopaedic Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2003,10,1]]},"reference":[{"key":"bibr1-107110070302401003","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801901211"},{"key":"bibr2-107110070302401003","first-page":"250","volume":"29","author":"Alexander AH","year":"2000","journal-title":"Am. 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