Modified sinus tarsi approach with a variable-angle locking anterolateral plate for Sanders type II and III calcaneal fractures

被引:6
作者
Xie, Wenjun [1 ,2 ,3 ]
Cui, Xueliang [1 ,2 ,3 ]
Zhang, Cheng [1 ,2 ,3 ]
Chen, Xiangxu [1 ,2 ,3 ]
Rui, Yunfeng [1 ,2 ,3 ]
Chen, Hui [1 ,2 ,3 ,4 ]
机构
[1] Southeast Univ, Zhongda Hosp, Dept Orthopaed, 87 Ding Jia Qiao, Nanjing 210009, Jiangsu, Peoples R China
[2] Southeast Univ, Zhongda Hosp, Trauma Ctr, 87 Ding Jia Qiao, Nanjing 210009, Jiangsu, Peoples R China
[3] Southeast Univ, Orthopaed Trauma Inst OTI, Nanjing 210009, Jiangsu, Peoples R China
[4] 87 Ding Jia Qiao, Nanjing, Jiangsu, Peoples R China
关键词
Calcaneal; Hindfoot; Sanders; Variable; Minimally invasive; Fracture; EXTENSILE LATERAL APPROACH; DISPLACED INTRAARTICULAR FRACTURES; INTERNAL-FIXATION; OPEN REDUCTION; PERCUTANEOUS REDUCTION; NONOPERATIVE TREATMENT; METAANALYSIS; HINDFOOT;
D O I
10.1016/j.fas.2021.11.012
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: We compared the effectiveness of the extensile lateral approach (ELA) and modified sinus tarsi approach (MSTA) with a variable-angle locking anterolateral plate in treating Sanders type II and III cal-caneal fractures.Methods: We reviewed 45 DIACFs treated by a single surgeon from 2017 to 2020. Open reduction using ELA and MSTA was performed in 25 and 20 patients, respectively. Follow-up evaluations included radiological assessments and clinical evaluations.Results: Pre-and postoperative radiologic parameters for the calcaneus were significantly different. The average American Orthopaedic Foot and Ankle Society scores were 81.24 and 85.00, the mean visual ana-logue scale scores were 2.28 and 1.65, and the wound-related complication rates were 64.0% and 15.0% in the ELA and MSTA groups, respectively. Bony union was achieved in all cases. Conclusions: For Sanders type II and III fractures, MSTA seems to be a safer and more satisfactory method, with fewer postoperative complications.(c) 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:872 / 878
页数:7
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