Randhawa SS*, Lee KJ, Ewe Benny, Thong FY, Gurmeet S and Ibrahim MI M
Department of Orthopaedics, Hospital Tengku Ampuan Rahimah, Klang, Malaysia
*Corresponding Author: Randhawa SS, Department of Orthopaedics, Hospital Tengku Ampuan Rahimah, Klang, Malaysia.
Received: June 26, 2023; Published: July 28, 2023
Introduction: Operative treatment of displaced intra- articular calcaneum fractures remain challenging and are associated with a high rate of wound complications. Extensile lateral approach (ELA) is most commonly used and is associated with a high rate of wound related complications, deep infection and sural nerve injuries. A minimally invasive sinus tarsi approach for displaced intra- articular calcaneus fractures can be used to achieve fracture reduction and fixation as well as minimize wound healing complications. The purpose of this prospective observational case series study is to report clinical and radiological outcomes associated with the sinus tarsi approach in the treatment of displaced intra- articular calcaneal fractures.
Methods: Fifteen intra- articular fractures in 14 patients with displaced fractures were managed surgically between February 2020 and December 2021. Demographic and radiographic data were collected for all patients including, age, gender, smoking status, presence of diabetes, mechanism of injury, injury side, time to surgery, length of hospital stay, follow up duration, Sanders classification, Bohler and Gissane. Post- operatively we recorded clinical evaluations for wound healing complications, deep infections, sural nerve injuries, peroneal tendinitis, time taken to return to work after the injury, and radiographic measurements.
Results: Fifteen intra- articular calcaneum fractures in 14 patients with a mean age of 47.1 (range 28- 58) years underwent open reduction and internal fixation for displaced intra-articular calcaneus fractures. Using the Sanders classification, we identified 27% Type 2 and 73% Type 3. From this, 33% of fractures displaced had a negative Bohler’s angle, 47% had an angle 0° to 20° and 20% over 20°. Post- operatively, all patients had an improvement in Bohler’s angle with 33% with 0° to 20° and 67% over 20°. The angle of Gissane measured pre- operatively averaged 100.9° and the average post- operative angle was 120°. Approximately, 50% of the patients working prior to the injury had returned to work by 6 months and 80% by 9 months. Bony union was achieved in all cases. There were no cases of wound related complications such as superficial or deep infection.
Conclusion: Calcaneal Fractures; Minimally Invasive; Sinus Tarsi Approach.
Keywords: Periprosthetic Humeral Fracture; Allograft; PFPH
Citation: Randhawa SS., et al. “Minimally Invasive Sinus Tarsi Approach for Displaced Intra- Articular Calcaneal Fractures".Acta Scientific Orthopaedics 6.8 (2023): 103-107.
Copyright: © 2023 Randhawa SS., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.