Furthermore, as observed in Figure 9, the collapsed material fails as a result of extensile
fracturing (red lines) due to exceeding the tensile strength of the rock close to the excavation boundary where the confinement is low.
Synapomorphies shared with the Heteromyzidae include: discoid third antennal segment; second antennal segment without dorsal slit; orb setae reduced to 2 or 3; subcosta reaching costa or merging with [R.sub.1] at junction with costa; subcostal break present; [A.sub.1] not reaching wing margin; distiph complex and enlarged; female postabdomen not or barely extensile
Lindley & Kleinert reported a case of a patient with high bifurcation with a fullness noted in the forearm before surgery requiring proximal extensile
(10) If intra-operative complications occur, such as femoral shaft fracture, that require a more extensile
approach, occasionally a direct lateral or posterolateral approach must be used to supplement the direct anterior approach.
approach for the operative treatment of high-energy pilon fractures: Surgical technique and Soft-tissue healing.
The surgical approach should be extensile
in nature to permit possible future resections for local recurrence or revisions.
DURATION B/W FALL AND SURGERY NO OF FRACTURES 1 0-5 days 8 2 6-10 days 8 3 11-15 days 12 4 16-20 day5 2 All the patients were operated under spinal anesthesia with the patient in lateral position, through lateral extensile
Prophylaxis for heterotopic ossification was not ordered following surgery, as it is typically reserved for select cases applying Kocher-Langenbeck or extensile
Skin and Subcutaneous Fat: An extensile
incision is used that provides effective debridement visualization.
(4) The extensile
volar Henry approach was utilized at the time, and surgical management was abandoned due to unacceptably high rates of complications, commonly involving injuries to the radial and median nerves.
The operative approach was extensile
and provided full view of the field and caused no problems in hardware placement.