A lateral extensile
exposure popularized by Benirschke and Sangeorzan was used in all our cases.
The transolecranon approach is a good extensile
approach with few difficulties and provided an excellent view of the intra-articular fragments and optimum space for implantation.
The original description of the two-incision approach was proposed by Boyd and Anderson (46) in 1961 in response to the high complication rates associated with the extensile
one-incision volar Henry approach.
In 2007 Jain et al studied 48 intra articular calcaneal Fractures treated by open reduction and internal fixation with bone grafting via extensile
The drawback to the transverse incision is that it is not an extensile
approach and is contraindicated in chronic cases where scarring and retraction are likely to be a factor.
Management of complex acetabular fractures through single non extensile
After 3 weeks, callus and scar formation severely limit the ability to obtain an anatomic reduction, require more extensile
approaches, and result in worsened functional outcomes.
In supine position an extensile
lateral approach (Kocher's) to elbow joint & distal humerus was used for debridement & external fixator application.
16) Unfortunately, this technique, when performed through a single, midline extensile
incision with wide stripping of the proximal tibia, has been associated with deep infection, wound dehiscence, and soft tissue complications in 23% to 100% of patients.
Stamatis3 and Imatani (4) both approached all cases by this modified extensile
lateral Kocher approach.
22,23) The posterior approach is an extensile
approach that allows the posterior, lateral, and medial sides of the elbow to be exposed through one incision.
Acute THA is necessary in the presence of an irreparable femoral head injury, preexisting arthritis, significant impaction injuries, marked comminution, or the need for an extensile
approach when managing these elderly acetabular fracture patients.