Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive Cases
A total of 35 patients with 36 Sanders type 2 and 3 calcaneal fractures were treated with open reduction and internal fixation using the sinus tarsi approach. Wires, screws, plates, and combinations of these were used for the fixation of fractures. The patients were followed for 10-44 months and eva...
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Jaypee Brothers Medical Publisher
2022-04-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
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| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1228 |
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| author | Mahesh Soni Diwakar Mishra |
| author_facet | Mahesh Soni Diwakar Mishra |
| author_sort | Mahesh Soni |
| collection | DOAJ |
| description | A total of 35 patients with 36 Sanders type 2 and 3 calcaneal fractures were treated with open reduction and internal fixation using the sinus tarsi approach. Wires, screws, plates, and combinations of these were used for the fixation of fractures. The patients were followed for 10-44 months and evaluated for radiological and clinical outcomes. Bohler angle was corrected from a preoperative mean of 0.68 degrees (range: 34.7-23.4 degrees) to postoperative mean of 23.5 degrees (range: 16-40 degrees). Gissane angle was corrected from a preoperative mean of 94.7 degrees (range: 41.8-123.8 degrees) to 110 degrees postoperatively (range: 87.7-135.8 degrees). Clinical outcomes were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) scoring. The score, at last follow-up was 62-90 with an average of 82. We conclude that the sinus tarsi approach can be used for earlier intervention and permits adequate access for satisfactory reduction of Sanders type 2 and 3 calcaneal fractures and optimum implant placement. The approach is associated with a low incidence of soft tissue complications. |
| format | Article |
| id | doaj-art-b4c703f9963849c69a08bfa30b3f3777 |
| institution | OA Journals |
| issn | 2348-280X 2394-7705 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Jaypee Brothers Medical Publisher |
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| series | Journal of Foot and Ankle Surgery (Asia Pacific) |
| spelling | doaj-art-b4c703f9963849c69a08bfa30b3f37772025-08-20T02:27:54ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052022-04-0192758010.5005/jp-journals-10040-12287Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive CasesMahesh Soni0Diwakar Mishra1Department of Orthopedics, Yash Orthopedic Hospital, Ankleshwar, Gujarat, IndiaDiwakar Mishra, Department of Orthopedic, Yash Orthopedic Hospital, Ankleshwar, Gujarat, India, Phone: +91 8511027088A total of 35 patients with 36 Sanders type 2 and 3 calcaneal fractures were treated with open reduction and internal fixation using the sinus tarsi approach. Wires, screws, plates, and combinations of these were used for the fixation of fractures. The patients were followed for 10-44 months and evaluated for radiological and clinical outcomes. Bohler angle was corrected from a preoperative mean of 0.68 degrees (range: 34.7-23.4 degrees) to postoperative mean of 23.5 degrees (range: 16-40 degrees). Gissane angle was corrected from a preoperative mean of 94.7 degrees (range: 41.8-123.8 degrees) to 110 degrees postoperatively (range: 87.7-135.8 degrees). Clinical outcomes were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) scoring. The score, at last follow-up was 62-90 with an average of 82. We conclude that the sinus tarsi approach can be used for earlier intervention and permits adequate access for satisfactory reduction of Sanders type 2 and 3 calcaneal fractures and optimum implant placement. The approach is associated with a low incidence of soft tissue complications.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1228calcaneus fracturesdisplaced intra-articular calcaneal fracturessinus tarsi approach |
| spellingShingle | Mahesh Soni Diwakar Mishra Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive Cases Journal of Foot and Ankle Surgery (Asia Pacific) calcaneus fractures displaced intra-articular calcaneal fractures sinus tarsi approach |
| title | Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive Cases |
| title_full | Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive Cases |
| title_fullStr | Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive Cases |
| title_full_unstemmed | Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive Cases |
| title_short | Sinus Tarsi Approach for Calcaneal Fracture Treatment: Our Experience with 36 Consecutive Cases |
| title_sort | sinus tarsi approach for calcaneal fracture treatment our experience with 36 consecutive cases |
| topic | calcaneus fractures displaced intra-articular calcaneal fractures sinus tarsi approach |
| url | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1228 |
| work_keys_str_mv | AT maheshsoni sinustarsiapproachforcalcanealfracturetreatmentourexperiencewith36consecutivecases AT diwakarmishra sinustarsiapproachforcalcanealfracturetreatmentourexperiencewith36consecutivecases |