Is Using Sinus Tarsi Approach with Bone Block Susbstitute and Screws the Optimal
Plan of Treatment of Articular Calcaneus Fracture?
TA Al-Sadek1 and A Al-Sadek2
1Trakia University, Medical college - Stara Zagora, Bulgatria
2UMHAT Tsaritsa Joanna- ISUL, Department of Orthopedics and Traumatology- Sofia, Bulgaria
*Corresponding Author: TA Al-Sadek, Trakia University, Medical college - Stara Zagora, Bulgatria.
January 23, 2023; Published: March 07, 2023
Objective: To evaluate the results of fixation of intra articular calcaneus fracture using sinus tarsi approach, bone block substitute, and screws fixation.
Background: Minimal invasive techniques for treatment calcaneus fractures have been developed to overcome soft tissue complications associated with the traditional lateral approach. Sinus tarsi approach has the advantage of visualization of posterior facet of subtalar joint.
Methods: All patients underwent preoperative calcaneal lateral and axial radiographs and CT scan of the injured foot. The injury type was graded according to the Sanders classification on the basis of the CT scan findings. Bohler and Gissane angles were measured as anatomical parameters before surgery. Sinus tarsi approach was done for all patients, in addition to use of percutaneous screws fixation and bone block graft substitute.
Results: A total of 14 patients were included in our study. The mean age was 37.8years,at the end of follow up radiological evaluation was done by measuring ; Bohler angle and angle of Gissan. American Orthopaedic Foot and Ankle Society (AOFAS) ankle/hindfoot score was calculated at the end of follow-up for all the cases. Excellent results were found in7 patients, good results in 5 patients and fair results in only 2patients. There was statistically significant improvement of Bohler angle at the end of follow up.
Conclusion: Treatment of intra articular calcaneal fractures using sinus tarsi approach with a bone block substitute and screws can provide satisfactory clinical outcomes.
Keywords: Sinus Tarsi; Articular Calcaneus Fractures; Bone Block Substitute
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