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