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- Title
Clinical Comparison of Extensile Lateral Approach and Sinus Tarsi Approach Combined with Medial Distraction Technique for Intra-Articular Calcaneal Fractures.
- Authors
Zhou, Hai‐chao; Yu, Tao; Ren, Hao‐yang; Li, Bing; Chen, Kai; Zhao, You‐guang; Yang, Yun‐feng
- Abstract
Objective To study and compare the clinical outcomes of open reduction and internal fixation via extensile L-shape incision and limited open reduction via the sinus tarsi approach using the medial distraction technique for intra-articular calcaneal fractures. Methods We performed a retrospective review of 65 intra-articular calcaneal fractures treated operatively between March 2012 and February 2015. Patients were divided into two groups: 28 were in the sinus tarsi approach group and 37 were in the extensile lateral approach group. All patients were asked to return for a research visit that included radiography and clinical evaluation. The postoperative function was evaluated using the ankle and hindfoot score of the American Orthopaedic Foot and Ankle Society ( AOFAS) and the visual analogue scale ( VAS). Results No significant difference was found in demographics between the two groups. The corrected value of the calcaneal varus angle between the two groups is statistically significant ( P < 0.05). The overall wound complication rate was 3.6% in the minimally invasive group versus 13.5% in the extensile group. Four patients in the extensile lateral approach group had developed hindfoot varus deformity at last follow-up. At the last follow-up, the average AOFAS ankle and the hindfoot score of the minimal group was 88.4 ± 6.6, and the VAS score was 1.9 ± 0.7, while that of the extensile lateral approach group was 83.2 ± 5.6 and 2.3 ± 1.0, respectively. Conclusion Limited open reduction via the sinus tarsi approach for intra-articular calcaneal fractures could reduce the incidence of wound complications effectively, and the medial distraction technique is helpful for correcting the calcaneus varus deformity.
- Subjects
HEEL bone fractures; VISUAL analog scale; ORTHOPEDICS; OSTEORADIOGRAPHY; FOLLOW-up studies (Medicine)
- Publication
Orthopaedic Surgery, 2017, Vol 9, Issue 1, p77
- ISSN
1757-7853
- Publication type
Article
- DOI
10.1111/os.12310