To describe functional and radiographic outcomes, and complications of osteosynthesis in calcaneus fractures with the sinus tarsi approach. 54 displaced articular calcaneus fractures Patients were assessed through preoperative foot radiographs (anteroposterior and lateral) and computerised tomography. AP and lateral radiographs were obtained in the immediate postoperative period (without weight bearing), after 6 and 12 weeks (with weightbearing) and at the end of follow‐up, measuring the Böhler angle and quantifying the degree of subtalar and calcaneocuboid osteoarthritis. The AOFAS score was determined, registering wound complications, neurological injuries. Follow‐up time was 30.8 months. The series consisted of 6 women and 48 men. The patients’ average age was 39.40±14 years (18‐65). There were 42 Sanders type II, 11 type III and 1 type IV fractures. The AOFAS score was excellent (12 patients), good (25), regular (12) and poor (5). The Böhler angle was 10.8°±10.4° before surgery and 30.77°±8.24° at the end of follow‐up (p<0.00001). 3.7% of the patients presented minor wound complications, while 5.6% presented major wound complications. The sinus tarsi approach allows for acceptable reduction with good and excellent outcomes in most patients, coupled with few soft‐tissue complications.
Jaysinh Chauhan, Narendra Mishra, Saurabh Sharma, Indrajeet Patel and Mohit Goswami. Functional Outcomes of Sinus Tarsi Approach for the Treatment of Calcaneus Fractures.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.597.603
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.597.603