Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures
Abstract Background Calcaneal fractures are the most common type of tarsal fractures. The sustentaculum tali (ST) offers anatomical stability in calcaneal fractures, and recently, ST screws have been widely used in their treatment. This study aimed to investigate the clinical efficacy and value of S...
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BMC
2024-11-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-024-05222-9 |
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| author | Yongyang Sun Yingluo Gu Ke Xu Nan Yi Jiaju Zhao Yong Zhang Bo Jiang |
| author_facet | Yongyang Sun Yingluo Gu Ke Xu Nan Yi Jiaju Zhao Yong Zhang Bo Jiang |
| author_sort | Yongyang Sun |
| collection | DOAJ |
| description | Abstract Background Calcaneal fractures are the most common type of tarsal fractures. The sustentaculum tali (ST) offers anatomical stability in calcaneal fractures, and recently, ST screws have been widely used in their treatment. This study aimed to investigate the clinical efficacy and value of ST screw fixation via a modified sinus tarsi approach (MSTA) for treating displaced intraarticular calcaneal fractures (DIACFs). Methods This study enrolled 64 patients (64 feet): 32 patients in the calcaneal locking plate combined with the ST screw group (CLP-STS Group) and 32 patients in the simple calcaneal locking plate internal fixation group (CLP Group). The minimum follow-up duration was 18 months. Ankle function was evaluated using VAS, AOFAS, and Short Form-36 scores. Imaging evaluation included the Böhler angle, Gissane angle, length, height, and width of the calcaneus, and the Böhler angle in both groups 1 year after surgery. Results Functional evaluation revealed that postoperative AOFAS and VAS scores in the CLP-STS Group were significantly better than those in the CLP Group. After surgery, the Böhler angle, Gissane angle, and length, height, and width of the calcaneus were significantly corrected compared to the preoperative values; however, the difference in these indicators between the two groups was not significant. Nevertheless, at the 1-year postoperative follow-up, the calcaneal Böhler angle loss in the CLP-STS Group was significantly better than that in the CLP Group. Conclusion Compared to simple calcaneal locking plate internal fixation, combining the plate with the additionally free ST screw can resolve the limited intraoperative exposure of MSTA, reduce postoperative foot pain in patients, and improve clinical efficacy. |
| format | Article |
| id | doaj-art-d9ae060833b44bf18595a54d4640ffb1 |
| institution | DOAJ |
| issn | 1749-799X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-d9ae060833b44bf18595a54d4640ffb12025-08-20T02:50:08ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-11-011911910.1186/s13018-024-05222-9Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fracturesYongyang Sun0Yingluo Gu1Ke Xu2Nan Yi3Jiaju Zhao4Yong Zhang5Bo Jiang6Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow UniversityAbstract Background Calcaneal fractures are the most common type of tarsal fractures. The sustentaculum tali (ST) offers anatomical stability in calcaneal fractures, and recently, ST screws have been widely used in their treatment. This study aimed to investigate the clinical efficacy and value of ST screw fixation via a modified sinus tarsi approach (MSTA) for treating displaced intraarticular calcaneal fractures (DIACFs). Methods This study enrolled 64 patients (64 feet): 32 patients in the calcaneal locking plate combined with the ST screw group (CLP-STS Group) and 32 patients in the simple calcaneal locking plate internal fixation group (CLP Group). The minimum follow-up duration was 18 months. Ankle function was evaluated using VAS, AOFAS, and Short Form-36 scores. Imaging evaluation included the Böhler angle, Gissane angle, length, height, and width of the calcaneus, and the Böhler angle in both groups 1 year after surgery. Results Functional evaluation revealed that postoperative AOFAS and VAS scores in the CLP-STS Group were significantly better than those in the CLP Group. After surgery, the Böhler angle, Gissane angle, and length, height, and width of the calcaneus were significantly corrected compared to the preoperative values; however, the difference in these indicators between the two groups was not significant. Nevertheless, at the 1-year postoperative follow-up, the calcaneal Böhler angle loss in the CLP-STS Group was significantly better than that in the CLP Group. Conclusion Compared to simple calcaneal locking plate internal fixation, combining the plate with the additionally free ST screw can resolve the limited intraoperative exposure of MSTA, reduce postoperative foot pain in patients, and improve clinical efficacy.https://doi.org/10.1186/s13018-024-05222-9Intra-articular calcaneal fractureMinimally invasive techniqueModified sinus tarsi approachSustentaculum tali screwClinical efficacy |
| spellingShingle | Yongyang Sun Yingluo Gu Ke Xu Nan Yi Jiaju Zhao Yong Zhang Bo Jiang Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures Journal of Orthopaedic Surgery and Research Intra-articular calcaneal fracture Minimally invasive technique Modified sinus tarsi approach Sustentaculum tali screw Clinical efficacy |
| title | Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures |
| title_full | Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures |
| title_fullStr | Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures |
| title_full_unstemmed | Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures |
| title_short | Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures |
| title_sort | effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra articular calcaneal fractures |
| topic | Intra-articular calcaneal fracture Minimally invasive technique Modified sinus tarsi approach Sustentaculum tali screw Clinical efficacy |
| url | https://doi.org/10.1186/s13018-024-05222-9 |
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