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Clinical application of the sinus tarsi approach in the treatment of intra-articular calcaneal fracture.

Abstract To observe the clinical outcome of the sinus tarsi approach in the operative treatment of intra-articular calcaneal fractures.Forty-nine intra-articular calcaneal fractures in 45 patients were managed surgically with sinus tarsi approach. The anatomical plate and compression bolts were applied in 14 feet. The anatomical plate and screws were applied in 35 feet. Maryland foot score system was used to evaluate the function of the hindfoot at the followup.The reduction of the posterior facet was graded as nearly anatomical (less than 2 mm articular displacement) in 46 feet (93.9%). The width, height, and Böhler angle were significantly improved in all patients (P < .01). After a mean follow-up period of 18.7 months (14.5-29 months), the Maryland foot scores were: 34 feet scored 90-100 points (excellent), 6 feet scored 80-90 points (good), 6 feet scored 70-80 points (fair), and 3 feet scored 60-70 points (poor). Incision-edge necrosis occurred in 2 cases. One case suffered from incomplete medial plantar nerve injury. One case suffered from heel pad branch of the tibial nerve injury. Six cases suffered from sural nerve injury, and 4 cases sustained a lateral wound dehiscence due to a hematoma. No case suffered from lateral impingement syndrome. Up to now, no patient had to accept subtalar arthrodesis.Sinus tarsi approach provides good exposure to the subtalar joint. Open reduction and internal fixation of calcaneus fractures through a sinus tarsi approach allows adequate reduction with low risk of wound-healing complications.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29595648
OWN - NLM
STAT- MEDLINE
DCOM- 20180411
LR  - 20180411
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 13
DP  - 2018 Mar
TI  - Clinical application of the sinus tarsi approach in the treatment of
      intra-articular calcaneal fracture.
PG  - e0175
LID - 10.1097/MD.0000000000010175 [doi]
AB  - To observe the clinical outcome of the sinus tarsi approach in the operative
      treatment of intra-articular calcaneal fractures.Forty-nine intra-articular
      calcaneal fractures in 45 patients were managed surgically with sinus tarsi
      approach. The anatomical plate and compression bolts were applied in 14 feet. The
      anatomical plate and screws were applied in 35 feet. Maryland foot score system
      was used to evaluate the function of the hindfoot at the followup.The reduction
      of the posterior facet was graded as nearly anatomical (less than 2 mm articular 
      displacement) in 46 feet (93.9%). The width, height, and Bohler angle were
      significantly improved in all patients (P &lt; .01). After a mean follow-up period
      of 18.7 months (14.5-29 months), the Maryland foot scores were: 34 feet scored
      90-100 points (excellent), 6 feet scored 80-90 points (good), 6 feet scored 70-80
      points (fair), and 3 feet scored 60-70 points (poor). Incision-edge necrosis
      occurred in 2 cases. One case suffered from incomplete medial plantar nerve
      injury. One case suffered from heel pad branch of the tibial nerve injury. Six
      cases suffered from sural nerve injury, and 4 cases sustained a lateral wound
      dehiscence due to a hematoma. No case suffered from lateral impingement syndrome.
      Up to now, no patient had to accept subtalar arthrodesis.Sinus tarsi approach
      provides good exposure to the subtalar joint. Open reduction and internal
      fixation of calcaneus fractures through a sinus tarsi approach allows adequate
      reduction with low risk of wound-healing complications.
FAU - Meng, Qingting
AU  - Meng Q
AD  - Department of Orthopaedic Trauma, The 3rd Affiliated Hospital of Hebei Medical
      University, Hebei, China.
FAU - Wang, Qingxian
AU  - Wang Q
FAU - Wu, Xirui
AU  - Wu X
FAU - Peng, Aqin
AU  - Peng A
FAU - Yan, Jincheng
AU  - Yan J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Calcaneus/*surgery
MH  - Female
MH  - Fracture Fixation, Internal/*methods
MH  - Fractures, Bone/*surgery
MH  - Humans
MH  - Internal Fixators
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/epidemiology
MH  - Recovery of Function
MH  - Subtalar Joint/*surgery
EDAT- 2018/03/30 06:00
MHDA- 2018/04/12 06:00
CRDT- 2018/03/30 06:00
PHST- 2018/03/30 06:00 [entrez]
PHST- 2018/03/30 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
AID - 10.1097/MD.0000000000010175 [doi]
AID - 00005792-201803300-00021 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Mar;97(13):e0175. doi: 10.1097/MD.0000000000010175.