Copyright 2018 Elsevier Inc. All rights reserved. 2018 Sep 24;13(1):243. doi: 10.1186/s13018-018-0943-6. Epub 2019 Jan 24. 2021 May 28;8:620964. doi: 10.3389/fsurg.2021.620964. Older patients and those who are diagnosed with type IV calcaneal factures, besides those presented with more delay, are more associated with unfavorable complications. There were no major soft tissue complications. doi: 10.1016/S0020-1383(00)00130-3. A literature search in the electronic databases of the Cochrane Library and Pubmed Medline, between January 1st 2000 to December 1st 2010, was conducted to identify studies in which the sinus tarsi approach or a modified sinus tarsi approach was utilized for the treatment of displaced intra-articular calcaneal fractures. PMC Oper Tech Orthop. Epub 2022 Mar 7. The sinus tarsi approach is most commonly used. Zhang T, Su Y, Chen W, Zhang Q, Wu Z, Zhang Y. J Bone Joint Surg Am. Int J Environ Res Public Health. This approach is subfibular and slightly anterior and keeps the peroneal tendons inferiorly. Accessibility Careers. An official website of the United States government. Dec 416, 2022, Revised proximal femur module is now online. Lateral Extensile Approach Versus Minimal Incision Approach for Open Reduction and Internal Fixation of Displaced Intra-articular Calcaneal Fractures: A Meta-analysis. government site. Is important to restore calcaneus posterior facet anatomy as well as calcaneus width, length, and height. Although open reduction and internal fixation is currently considered the gold standard in surgical treatment of displaced intra-articular calcaneal fractures, various different approaches exist including the limited lateral approach. Wallace B, Chhabra A, Narayanan A, O'Neill D, Xi Y, Van Pelt M, Wukich DK, Liu G, Sanders D, Lalli T. J Foot Ankle Surg. The https:// ensures that you are connecting to the Epub 2021 Jun 11. K-wire with fluoroscopic imaging can help identify appropriate incision placement if landmarks are difficult to palpate due to swelling. Comparing less invasive plate fixation versus screw fixation of displaced intra-articular calcaneus fracture via sinus tarsi approach. FOIA BMC Musculoskelet Disord. DISCUSSION AND CONCLUSIONS The results with the locking calcaneus nail and sinus tarsi approach suggest, that similar treatment results can be achieved as with plate osteosynthesis and an extended lateral approach. 2021 Oct 2;18(19):10400. doi: 10.3390/ijerph181910400. Sinus tarsi syndrome is when swelling and pain occur on the outside of the joint below the ankle. Please enable it to take advantage of the complete set of features! Displaced intra-articular calcaneal fractures are among the most difficult articular fractures to treat, with a high rate of potential complications. Comparison of two surgical approaches for displaced intra-articular calcaneal fractures: sinus tarsi versus extensile lateral approach. The .gov means its official. Fischer S, Meinert M, Neun O, Colcuc C, Gramlich Y, Hoffmann R, Manegold S. Arch Orthop Trauma Surg. The results, i.e. Method: On the basis of the delay time from injury to surgery, patients were classified into 4 groups: immediate (0-3 days), early (4-6 days), intermediate (7-14 days), and late (14-18 days). Epub 2017 Mar 9. Epub 2021 May 11. Example of displaced intra-articular calcaneal, Example of displaced intra-articular calcaneal fracture treated via sinus tarsi approach. -, Benirschke SK, Sangeorzan BJ (1993) Extensive intraarticular fractures of the foot. 2019 Apr;36(2):225-231. doi: 10.1016/j.cpm.2018.10.005. The average Coleman methodology score was 56.8 (range 39-72) points. J Korean fract soc 2009;22:13-8. The results in the literature show overall similar functional outcome compared with the extended lateral approach, however with a significant reduction in wound complications. -, Atkins RM, Allen PE, Livingstone JA. Level of evidence IV. Syros A, Perez J, Hodgens BH, Boden AL, Constantinescu DS, Smith B, Davies JP, Steinlauf S. J Orthop. Indications, surgical technique, and possible pitfalls are discussed. The mean union time was 3.2 months (range 3-4 months). FOIA Authors Clinical Comparison of Extensile Lateral Approach and Sinus Tarsi Approach Combined with Medial Distraction Technique for Intra-Articular Calcaneal Fractures. Mini-plate fixation via sinus tarsi approach is superior to cannulated screw in intra-articular calcaneal fractures: A prospective randomized study. Injury. Zhang H, Shen G, Xu Z, Gao J, Lai J, Yang K, Li X, Zou Y, Lai Z, Zhu Y, Jie K. Int Orthop. Treatment of calcaneal fractures in children by open reduction by sinus tarsi approach and K-wires fixation is a safe and effective method with low incidence of complications. Clipboard, Search History, and several other advanced features are temporarily unavailable. Epub 2020 Oct 27. - YouTube 0:00 / 7:55 Sign in to confirm your age This video may be inappropriate for some users. Is important to restore calcaneus posterior facet anatomy as well as calcaneus width, length, and height. official website and that any information you provide is encrypted The https:// ensures that you are connecting to the A novel distractor-assisted reduction combined with the sinus tarsi approach for joint depression-type calcaneal fractures. Bernasconi A, Iorio P, Ghani Y, Argyropoulos M, Patel S, Barg A, Smeraglia F, Balato G, Welck M. Arch Orthop Trauma Surg. Unable to load your collection due to an error, Unable to load your delegates due to an error. Mehta CR, An VVG, Phan K, Sivakumar B, Kanawati AJ, Suthersan M. J Orthop Surg Res. Disclosure The authors have nothing to disclose. 2021 Aug 6;100(31):e26717. government site. Patient-Reported Outcome Following Operative and Conservative Treatment of Calcaneal Fractures: A Retrospective Analysis of 79 Patients at Short- to Midterm Follow-Up. This approach minimizes soft tissue disruption, provides visualization of the posterior facet, and allows reproducible fracture reduction and fixation while protecting the lateral hindfoot angiosome. 2001;7:7784. Alternative limited lateral surgical approaches have been described. began using in 1999 based on the technique described by Gupta et al. The lateral incision of calcaneus was made via sinus tarsi approach beginning from the anterolateral corner of the tip of the lateral malleolus, through sinus tarsi, calcaneocuboid joint and extending to the proximal cuboid. Lin J, Xie C, Chen K, Sun S, Zhou K, Zhou C, Shui X, Kong J. Int Orthop. sharing sensitive information, make sure youre on a federal Three cases of minor soft tissue complications healed with no need for subsequent procedures. 2022 Nov 12. doi: 10.1007/s00264-022-05625-5. Low Risk of Wound Complications With Sinus Tarsi Approach for Treatment of Calcaneus Fractures. Sanders classification. Please enable it to take advantage of the complete set of features! 2021 Sep;45(9):2231-2237. doi: 10.1007/s00264-020-04867-5. Our present study suggests that the minimally invasive sinus tarsi approach with our combined plate may be a safe and effective alternative for the operative treatment of type II and simple type III calcaneal fractures, with rare postoperative complications and excellent reduction capacity. The sinus tarsi approach may be a good option to treat intra-articular calcaneal fractures in select cases (Sanders type II and III) while preventing the major soft tissue complications of the extended lateral approach. The extensile lateral approach provides excellent fracture visualization and allows reduction of the displaced fracture fragments, but high complication rate has been described with this approach, so many studies favor the sinus tarsi approach. Sinus Tarsi Approach for Calcaneal Fractures: The New Gold Standard? The limited sinus tarsi approach provides excellent access to the posterior articular facet of the calcaneus with significantly reduced rates of wound complications and associated improved outcomes. Extensile lateral versus sinus tarsi approach for calcaneal fractures: A meta-analysis. Go to: Acknowledgements None Funding An average complication rate of minor wound complications of 4.1% was reported and major wound complications in 0.7%. Pflger P, Zyskowski M, Greve F, Kirchhoff C, Biberthaler P, Crnlein M. Front Surg. A novel distractor-assisted reduction combined with the sinus tarsi approach for joint depression-type calcaneal fractures. Careers. The incision is exposed better with extensile lateral approach (ELA), while the sinus tarsi approach (STA) causes fewer complications. In 1948, Palmer described a curved incision below the lateral malleolus for direct exposure to the subtalar joint. Line drawing of a semi-coronal image of the calcaneus showing all, Extended lateral approach versus sinus tarsi approach. Dry arthroscopy can also assist in accurate joint reduction. Clin Podiatr Med Surg. FOIA Modification of the sinus tarsi approach for open reduction and plate fixation of intra-articular calcaneus fractures: the limits of proximal extension based upon the vascular anatomy of the lateral calcaneal artery. doi: 10.1046/j.1460-9584.2001.00242.x. This small incision is much safer than the extended L-incision. Calcaneus fracture; Limited lateral approach; Screwing; Sinus tarsi approach. J Foot Ankle Surg. Before Unable to load your collection due to an error, Unable to load your delegates due to an error. It combines the open approach to the subtalar joint with percutaneous reduction of the overall shape of the calcaneus. Comparison of two surgical approaches for displaced intra-articular calcaneal fractures: sinus tarsi versus extensile lateral approach. Medicine (Baltimore). The quality . sharing sensitive information, make sure youre on a federal Recently, the limited incision sinus tarsi approach has gained traction and is now commonly used at our institution for the treatment of calcaneus fractures. 2022 Aug;142(8):1911-1922. doi: 10.1007/s00402-021-03944-7. r, the optimal incision approach is still controversial. The image shows a foot 14 days after injury appropriate for surgery, with the wrinkle sign present. Abidi NA, Gruen GS. 2022 Nov 12. doi: 10.1007/s00264-022-05625-5. The results in the literature show overall similar functional outcome compared with the extended lateral approach, however with a significant reduction in wound complications. and transmitted securely. Although the extended lateral approach is typically considered the gold standard of treatment for intra-articular calcaneal fractures, a limited lateral approach may be a good alternative in select cases. Conclusions: Int Orthop. functional outcome and complication rates, of the sinus tarsi approach compare similarly or favourably to the extended lateral approach. Purpose: What is claimed is: 1.A method to provide a non-binding allograft subtalar joint implant into a person's foot proximate to the ankle comprising: surgically accessing a canal within a person's foot proximate to the person's talus and calcaneus bones, the canal having a width between the talus and calcaneus bones; selecting a pre-formed allograft rod plug having a diameter of about the canal . Anatomy Comparison of two surgical approaches for displaced intra-articular calcaneal fractures: sinus tarsi versus extensile lateral approach. [16] Schuberth JM, Cobband MD . Due to the shorter incision, and more proximal location of the incision, wound complications are less common [ 2 ]. Zhou HC, Yu T, Ren HY, Li B, Chen K, Zhao YG, Yang YF. Methods: sharing sensitive information, make sure youre on a federal MeSH 2018 Sep 24;13(1):243. doi: 10.1186/s13018-018-0943-6. 2022 Jul-Aug;61(4):771-775. doi: 10.1053/j.jfas.2021.11.013. and transmitted securely. Federal government websites often end in .gov or .mil. Int Orthop 2011;35:697-703. Careers. 13 Later, Essex-Lopresti adopted a similar sinus tarsi incision to elevate depressed joint fragments. The site is secure. The .gov means its official. But sometimes swelling precludes early surgery and great patience is required to optimize the local surgical environment. [14] Moon J-S, Lee W-C. A comparison of extensile lateral approach and sinus tarsi approach for the Sanders type II calcaneal fracture. Healthcare professionals refer to this area between the ankle and heel bone as the sinus tarsi or . Keywords: Bethesda, MD 20894, Web Policies Displaced intra-articular calcaneal fractures treated in a minimally invasive fashion: longitudinal approach versus sinus tarsi approach. -, Assous M, Bhamra MS. Should Os calcis fractures in smokers be fixed? The .gov means its official. 2017 Feb;9(1):77-85. doi: 10.1111/os.12310. PMC 2021 Jun 15;35(6):729-733. doi: 10.7507/1002-1892.202101029. Then the subtalar joint is found and entered. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. First the skin and then the peroneal retinaculum are incised. [A comparative study on internal fixation of calcaneal fractures assisted by robot and traditional open reduction internal fixation]. -. This approach is used for minimally invasive reductions and percutaneous fixation of displaced intraarticular calcaneal fractures. 2001;32:631632. The site is secure. The methodological quality of the included studies was assessed using the Coleman methodology score. Rodemund C, Krenn R, Kihm C, Leister I, Ortmaier R, Litzlbauer W, Schwarz AM, Mattiassich G. BMC Musculoskelet Disord. Introduction Treatment with our self-designed combined plate through a sinus tarsi approach may be safe and effective for type II and type III calcaneal fractures. 2021 Sep;45(9):2337-2346. doi: 10.1007/s00264-021-05094-2. This chapter will go over the indications and surgical technique of the sinus tarsi approach for fixation of calcaneus fractures using a . The image shows a foot 3 days after serious trauma, which is inappropriate for surgery. An official website of the United States government. This site needs JavaScript to work properly. 2021. 2018 May-Aug;26(3):2309499018792742. doi: 10.1177/2309499018792742. Early surgery may be appropriate for percutaneous sinus tarsi reduction if foot swelling is not severe. Epub 2020 Nov 4. 2020 Mar-Apr;59(2):356-366. doi: 10.1053/j.jfas.2019.08.007. Longer delays may be associated with increasing difficulty in obtaining a reduction and closing the surgical incision. The extensile lateral approach provides excellent fracture visualization and allows reduction of the displaced fracture fragments, but high complication rate has been described with this approach, so many studies favor the sinus tarsi approach. Lateral radiograph with superimposed line drawings of approaches and nerves. Epub 2020 Jul 23. Foot Ankle Surg. Online ahead of print. Soft tissue management, as well as pre- and postoperative timing and discharge management can be improved with the nail. 2022 Nov 12. doi: 10.1007/s00264-022-05625-5. 2022 Sep 14;34:282-287. doi: 10.1016/j.jor.2022.09.009. doi: 10.1016/S1048-6666(99)80022-6. Sinus tarsi syndrome is pain or injury to this area. Clipboard, Search History, and several other advanced features are temporarily unavailable. Epub 2018 Oct 5. Introduction Calcaneal fractures are probably the most common fractures in the tarsal bones, accounting for 60% of all tarsal fractures 1. A total of eight case series reporting on 256 patients with 271 calcaneal fractures was identified. BMC Musculoskelet Disord. Extensile lateral versus sinus tarsi approach for calcaneal fractures: A meta-analysis Results show that, compared with ELA, STA is superior for treating calcaneal fractures due to anatomical reduction of the calcaneus, reduction of incision complications incidence, and shortened operative time and postoperative stay. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016 Jul 15;17:288. doi: 10.1186/s12891-016-1122-8. Bookshelf 2021 Oct 2;18(19):10400. doi: 10.3390/ijerph181910400. HHS Vulnerability Disclosure, Help Use of intramedullary locking nail for displaced intraarticular fractures of the calcaneus: what is the evidence. Sinus tarsi approach to the calcaneus Select a chapter 1. and transmitted securely. This site needs JavaScript to work properly. Epub 2021 Dec 3. A novel distractor-assisted reduction combined with the sinus tarsi approach for joint depression-type calcaneal fractures. government site. Before Guo C, Xu Y, Li C, Li X, Wang Z, Cai M, Xu X. Int Orthop. The need for a secondary subtalar arthrodesis occurred at an average rate of 4.3%. Extensile lateral versus sinus tarsi approach for displaced, intra-articular calcaneal fractures: a meta-analysis. Would you like email updates of new search results? 2015 Mar 19;16:63. doi: 10.1186/s12891-015-0519-0. Mehta CR, An VVG, Phan K, Sivakumar B, Kanawati AJ, Suthersan M. J Orthop Surg Res. Overall good to excellent outcome was reached in three-quarters of all patients. Currently, less invasive surgery has reemerged and is increasingly used. to the anatomic characteristics of the calcaneus and sinus tarsi approach is important [6, 7]. The return of skin wrinkles to the lateral side of the foot should be used as a guide for the timing of surgery. 2. Is important to restore calcaneus posterior facet anatomy as well as calcaneus width, length, and height. 2016 Jul 15;17:288. doi: 10.1186/s12891-016-1122-8. Bookshelf See this image and copyright information in PMC. FOIA The sinus tarsi approach is indicated for ORIF of displaced, comminuted intra-articular calcaneal fractures and may be a better alternative than the extensile lateral approach for patients with comorbid conditions that would otherwise indicate these patients to nonoperative treatment. A case series of 53 patients with calcaneus fractures treated by a single surgeon with the sinus tarsi approach was retrospectively analyzed. Arthrex designed the Calcaneal Fracture Management System to give surgeons the tools required to address all calcaneal fractures using either the extensile lateral or sinus tarsi approach. Surgical Treatment Using Sinus Tarsi Approach with Anterolateral Fragment Open-Door Technique in Sanders Type 3 and 4 Displaced Intraarticular Calcaneal Fracture. PMC The sinus tarsi approach in displaced intra-articular calcaneal fractures Arch Orthop Trauma Surg. Federal government websites often end in .gov or .mil. Traumatic injury to the ankle/foot (such as an ankle sprain) or overuse (such as repetitive standing or walking) are the main causes of this syndrome. Wound-healing risk factors after open reduction and internal fixation of calcaneal fractures. HHS Vulnerability Disclosure, Help Femino JE, Vaseenon T, Levin DA, Yian EH. Anatomically designed plates - 17 plate options Percutaneous guides - Provide targeting for the minimally invasive sinus tarsi incision Low profile - 1.35 mm thick titanium plates 3.5 mm variable-angle . This article deals with the sinus tarsi approach in which the reduction is fixated using screws only. -, Abidi NA, Dhawan S, Gruen GS, Vogt MT, Conti SF. 2022 Aug;48(4):3305-3315. doi: 10.1007/s00068-022-01901-6. THE. 2141 - 2149 , 10.1007/s00264-019-04318-w It is smaller and is not compromising any skin on the lateral side of the foot. 2020 Nov 14;21(1):753. doi: 10.1186/s12891-020-03762-9. eCollection 2022 Nov-Dec. Cho J, Kim J, Kang EM, Lee JS, Min TH, Won SH, Yi Y, Chun DI. Note the position of the retinaculum and of the fibulocalcaneal and talocalcaneal ligaments. Calcaneal fractures: 3D-printing model to assist spatial weaving of percutaneous screws versus conventional open fixation-a retrospective cohort study. Ligaments and tendons The peroneal tendons are on the lateral side of the calcaneus. Cho J, Kim J, Kang EM, Lee JS, Min TH, Won SH, Yi Y, Chun DI. Low Risk of Wound Complications With Sinus Tarsi Approach for Treatment of Calcaneus Fractures. This site needs JavaScript to work properly. Kir MC, Ayanoglu S, Cabuk H, Dedeoglu SS, Imren Y, Karslioglu B, Yuce A, Gurbuz H. J Orthop Surg (Hong Kong). Orthop Surg. Comparison of percutaneous cannulated screw fixation and calcium sulfate cement grafting versus minimally invasive sinus tarsi approach and plate fixation for displaced intra-articular calcaneal fractures: a prospective randomized controlled trial. 2018 Sep 24;13(1):243. doi: 10.1186/s13018-018-0943-6. Bookshelf official website and that any information you provide is encrypted The sinus tarsi approach is a key surgical technique in the armamentarium for calcaneus fracture management. Skin blisters should be observed and carefully protected. Sinus Tarsi Approach with Subcutaneously Delivered Plate Fixation for Displaced Intra-Articular Calcaneal Fractures. Correct timing of surgery is the most important factor in preventing local wound complication. Operative techniques in open reduction and internal fixation of calcaneal fractures. Courses Sinus tarsi. Forty-seven consecutive patients with intra-articular calcaneal fractures treated using the sinus tarsi approach between March 2010 and April 2015 were retrospectively reviewed. Careers. Zhang H, Shen G, Xu Z, Gao J, Lai J, Yang K, Li X, Zou Y, Lai Z, Zhu Y, Jie K. Int Orthop. Generally, 2-5 days is the optimal time for percutaneous sinus tarsi surgery. Feng Y, Shui X, Wang J, Cai L, Yu Y, Ying X, Kong J, Hong J. BMC Musculoskelet Disord. Femino JE, Vaseenon T, Levin DA, Yian EH. government site. HHS Vulnerability Disclosure, Help Sinus tarsi approach for calcaneus fractureIntroduce by - YouTube Sign in to confirm your age This video may be inappropriate for some users. Minimally invasive (sinus tarsi) approach for calcaneal fractures Treatment with our self-designed combined plate through a sinus tarsi approach may be safe and effective for type II and type III calcaneal fractures. Clinical Comparison of Extensile Lateral Approach and Sinus Tarsi Approach Combined with Medial Distraction Technique for Intra-Articular Calcaneal Fractures. Mini-plate fixation via sinus tarsi approach is superior to cannulated screw in intra-articular calcaneal fractures: A prospective randomized study Show detailsHide details Mustafa C Kir Semih Ayanoglu Haluk Cabuk Suleyman S Dedeoglu Yunus Imren Bulent Karslioglu Please enable it to take advantage of the complete set of features! Calcaneus; Less invasive; Limited access; Sinus tarsi approach; Surgery. An official website of the United States government. MeSH Extended lateral approach versus sinus tarsi approach. BMC Musculoskelet Disord. Clin Orthop Relat Res 292:128134 Minimally invasive approaches, including the sinus tarsi approach, are being frequently used to treat displaced intra-articular calcaneus fractures with promising results and the literature has shown that through the use of these approaches, there has been a decreased rate of wound complications, hematoma formation, surgical time, and equivalent functional outcomes to the extensile lateral . 2019 Sep;43(9):2141-2149. doi: 10.1007/s00264-019-04318-w. Epub 2019 Mar 22. Bethesda, MD 20894, Web Policies Results: Howev. Surgical management of calcaneal fractures. Ivanov S, Stefanov A, Zderic I, Rodemund C, Schepers T, Gehweiler D, Dauwe J, Pastor T, Makelov B, Raykov D, Richards G, Gueorguiev B. Eur J Trauma Emerg Surg. Online ahead of print. Resource Type: Presentation Videos Presenter: Mahesh Bagwe, MD Harvard Medical School, Boston, MA Incision used for sinus tarsi approach is 3-4 cm, made from the tip of the fibula toward the base of the fourth metatarsal. 2021 Apr;141(4):611-617. doi: 10.1007/s00402-020-03530-3. Bethesda, MD 20894, Web Policies Copyright 2020 Elsevier Inc. All rights reserved. Before A recent study has shown that preoperative doppler ultrasound showing non-patency of the lateral calcaneal artery is strongly . doi: 10.1097/MD.0000000000026717. Accessibility Would you like email updates of new search results? Surgical Treatment Using Sinus Tarsi Approach with Anterolateral Fragment Open-Door Technique in Sanders Type 3 and 4 Displaced Intraarticular Calcaneal Fracture. Extended Sinus Tarsi Approach for Treatment of Displaced Intraarticular Calcaneal Fractures Compared to Extended Lateral Approach Extended Sinus Tarsi Approach for Treatment of Displaced Intraarticular Calcaneal Fractures Compared to Extended Lateral Approach doi: 10.1177/1071100718803333. The Percutaneous Calcaneal Fracture Plates feature nine plate options and include radiolucent percutaneous guides. Sinus tarsi approach and extensile lateral approach to the calcaneus. 1998;19:856861. Tendons and sural nerve are protected inferiorly. 8600 Rockville Pike Introduction: 2015 Mar 19;16:63. doi: 10.1186/s12891-015-0519-0. Disclaimer, National Library of Medicine Epub 2019 Jan 24. System Features: Clipboard, Search History, and several other advanced features are temporarily unavailable. The site is secure. Lateral radiograph with superimposed line drawings, MeSH Zhang H, Shen G, Xu Z, Gao J, Lai J, Yang K, Li X, Zou Y, Lai Z, Zhu Y, Jie K. Int Orthop. Clipboard, Search History, and several other advanced features are temporarily unavailable. The sinus tarsi approach may be a good option to treat intra-articular calcaneal fractures in select cases (Sanders type II and III) while preventing the major soft tissue complications of the extended lateral approach. Sign in Sinus tarsi approach. Keywords: Epub 2017 Mar 9. Line drawing of a semi-coronal image of the calcaneus showing all three fracture lines (A, B, C). Bony union was achieved in every case. Feng Y, Shui X, Wang J, Cai L, Yu Y, Ying X, Kong J, Hong J. BMC Musculoskelet Disord. Clin Podiatr Med Surg. The https:// ensures that you are connecting to the 8600 Rockville Pike Zhou HC, Yu T, Ren HY, Li B, Chen K, Zhao YG, Yang YF. This small wound is easily closed and has a very low infection rate. 2014 Feb 19;96(4):302-9. doi: 10.2106/JBJS.L.01215. In the present study, we self-designed a new, com-bined, anatomical plate specifically for Sanders type II and type III fractures and aimed to retrospectively assess the functional outcomes and complications of its use through the sinus tarsi approach . sharing sensitive information, make sure youre on a federal The mean one-year postoperative VAS and AOFAS scores were 0.54 (range 0-3.0), and 94.0 (range 80-100), respectively. HHS Vulnerability Disclosure, Help Would you like email updates of new search results? Minimally invasive approaches, including the sinus tarsi approach, are being frequently used to treat displaced intra-articular calcaneus fractures with promising results. official website and that any information you provide is encrypted Level of evidence IV. 8600 Rockville Pike Bethesda, MD 20894, Web Policies Federal government websites often end in .gov or .mil. Keywords: a Pre-operative, Sanders classification. [10] Rawicki N Wyatt R Kusnezov N et al High incidence of post operative infection after ' sinus tarsi' approach for treatment of intraarticular fractures of the calcaneus a 5 year experience in an academic level one trauma center[J] Patient Saf Surg 2015 925 DOI 101186 s1303701500656 Example of displaced intra-articular calcaneal fracture treated via sinus tarsi approach. Foot Ankle Int. Connect with peers, learn from experts. 2017 Feb;9(1):77-85. doi: 10.1111/os.12310. Comparison of percutaneous cannulated screw fixation and calcium sulfate cement grafting versus minimally invasive sinus tarsi approach and plate fixation for displaced intra-articular calcaneal fractures: a prospective randomized controlled trial. This site needs JavaScript to work properly. Disclaimer, National Library of Medicine Epub 2021 Dec 3. Different from the percutaneous technique, the sinus tarsi approach (STA) is a limited approach that has gained increasing popularity in recent years, providing less invasive fixation of the calcaneal fracture [ 23, 24, 25, 26 ]. Wallace B, Chhabra A, Narayanan A, O'Neill D, Xi Y, Van Pelt M, Wukich DK, Liu G, Sanders D, Lalli T. J Foot Ankle Surg. Sinus Tarsi Approach to Calcaneus ORIF Mahesh Bagwe, MD, (St. Louis, MO) presents cases using a minimally invasive sinus tarsi approach for treating calcaneal fractures. The functional outcomes [including arc range of motion, Visual Analog Scale (VAS) score, and the American Orthopedic Foot and Ankle Society ankle/hindfoot (AOFAS) score], bony outcomes (bony restoration and bony union), and complications were evaluated. official website and that any information you provide is encrypted Unable to load your collection due to an error, Unable to load your delegates due to an error. 8600 Rockville Pike Sinus tarsi approach in high-risk patients with displaced intra-articular calcaneus fractures: A case series. Accessibility Minimally invasive surgery for intra-articular calcaneus fractures: a 9-year, single-center, retrospective study of a standardized technique using a 2-point distractor. Sinus Tarsi Approach with Subcutaneously Delivered Plate Fixation for Displaced Intra-Articular Calcaneal Fractures. Purpose:Accumulated literature has reported the comparative efficacy of the sinus tarsi approach (STA) and the extensile lateral approach (ELA) for the treatment of calcaneal fractures (CFs). Comparison of sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fractures Sanders type IV. Federal government websites often end in .gov or .mil. 2022 Nov 12. doi: 10.1007/s00264-022-05625-5. Conclusion: Richter I, Krhenbhl N, Ruiz R, Susdorf R, Horn Lang T, Hintermann B. Arch Orthop Trauma Surg. They account for 1 to 2% of all fractures and 60% of all tarsal fractures. 14 Gupta, reported on a modification of Palmer's approach, in which a straight incision was made 1 cm distal . Modification of the sinus tarsi approach for open reduction and plate fixation of intra-articular calcaneus fractures: the limits of proximal extension based upon the vascular anatomy of the lateral calcaneal artery. 2015 Mar 19;16:63. doi: 10.1186/s12891-015-0519-0. Method: A literature search in the electronic databases of the Cochrane Library and Pubmed Medline, between January 1st 2000 to December 1st 2010, was conducted to identify studies in which the sinus tarsi approach or a modified sinus tarsi approach was utilized for the treatment of displaced intra-articular calcaneal fractures. Approach; Calcaneus; Fractures; Sinus tarsi; Surgical. 2019 Apr;36(2):225-231. doi: 10.1016/j.cpm.2018.10.005. The VAS and AOFAS scores were correlated with the degree of reduction of the posterior facet joint and the amount of Bohler angle restoration. The sinus tarsi approach is most commonly used. Demographic features of intra-articular fractures of the calcaneum. Online ahead of print. and transmitted securely. 2021 Oct;141(10):1691-1699. doi: 10.1007/s00402-020-03649-3. The .gov means its official. Indications This approach is used for minimally invasive reductions and percutaneous fixation of displaced intraarticular calcaneal fractures. Materials and methods: Published trials comparing ELA and STA in calcaneal fractures were included in our analysis. A review of 40 patients. Zhang H, Shen G, Xu Z, Gao J, Lai J, Yang K, Li X, Zou Y, Lai Z, Zhu Y, Jie K. Int Orthop. Please enable it to take advantage of the complete set of features! Displaced intra-articular calcaneal fractures are among the most difficult articular fractures to treat, with a high rate of potential complications. Extensile lateral versus sinus tarsi approach for displaced, intra-articular calcaneal fractures: a meta-analysis. Extensile lateral versus sinus tarsi approach for displaced, intra-articular calcaneal fractures: a meta-analysis. for higher risk patients or those with concomitant fractures that could be addressed simultaneously. All approaches to the calcaneous Extended lateral approach to the calcaneus See details Sinus tarsi approach to the calcaneus See details MIO posterior approach to the calcaneus See details Medial approach to the calcaneus See details Mio lateral approach to the calcaneus See details AO Davos Courses 2022 Connect with peers, learn from experts. Int J Environ Res Public Health. Therefore, in the process of tailoring the best treatment modality to the right patient and the right fracture type, the sinus tarsi approach might be a valuable asset. The lateral calcaneal artery is responsible for the majority of the blood supply to this area. Once the subtalar joint is entered, this small incision allows the surgeon to have direct vision of the subtalar joint and the surgeon can reduce and internally fix any fracture lines. It is common for this approach to be undertaken when the calcaneal fracture is of a simpler classification. Would you like email updates of new search results? Accessibility The purpose of this meta-analysis is to compare the outcomes of STA and ELA. However, because of the smaller surgical window, visualization is more . The https:// ensures that you are connecting to the Treatment of displaced intra-articular calcaneal fractures has changed numerous times in the last decades. 1999;9:239246. Disclaimer, National Library of Medicine Mehta CR, An VVG, Phan K, Sivakumar B, Kanawati AJ, Suthersan M. J Orthop Surg Res. [15] Schepers T. The sinus tarsi approach in displaced intra-articular calcaneal fractures: a systematic review. Online ahead of print. The Calc-Jak allows for medial/lateral, anterior/posterior, and superior/inferior translation of calcaneus fractures that can be locked in place using the cam levers. Orthop Surg. Before Comparison of sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fractures Sanders type IV Int Orthop , 43 ( 2019 ) , pp. This is a safe, simple incision, but the surgeon must look for the sural nerve. TraumaThe lateral calcaneal artery provides critical arterial supply for healing of the extensile lateral approach to the calcaneus. Mid- to long-term outcome in patients treated with a mini-open sinus-tarsi approach for calcaneal fractures. It may also occur if the person has a pes planus or an over-pronated foot, which can cause compression in the sinus tarsi. It combines the open approach to the subtalar joint with percutaneous reduction of the overall shape of the calcaneus. We describe an extensile sinus tarsi based approach, for open reduction of displaced calcaneal fractures that the senior author (J.F.) This optional system may be used in conjunction with the minimally invasive, sinus tarsi approach for treating calcaneus fractures with Mini-Calc Plates. Painful hardware at the posterior calcaneal tuberosity was the most common complication, which occurred in seven cases. An official website of the United States government. In conclusion, the minimally invasive sinus tarsi approach has relatively low complications and excellent clinical and radiological outcomes. Minimal invasive sinus tarsi approach for calcaneal fracture (Sanders type 2 /3) - YouTube 0:00 / 17:25 Sign in to confirm your age This video may be inappropriate for some users. Recent evidence favoring sinus tarsi rather than the extensile lateral approach has shifted opinion toward this less invasive approach, which can be considered the new gold standard. The front incision was directed toward lateral wall bone of anterior process of calcaneus. PMC It is common for this approach to be undertaken when the calcaneal fracture is of a simpler classification. Bookshelf eCollection 2021. Percutaneous fixation of intraarticular joint-depression calcaneal fractures with different screw configurations - a biomechanical human cadaveric analysis. 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