Results of intra articular calcaneal fractures treated with internal fixation using sinus tarsi approach

Abstract

Fractures of the calcaneum are commonly encountered clinical injuries resulting from high-energy trauma such as fall from height or road traffic accidents. In intraarticular displaced fractures, goal is to establish anatomic reduction and subtalar joint alignment, to restore calcaneal width and height and to prevent lateral impingement where the standard surgical method is open reduction and internal fixation via extensile Lateral approach to calcaneum. Minimally invasive fixation of calcaneal fractures is becoming an increasingly described and used technique, with evidence to support its advantages over the more traditional open approach, particularly in terms of lower rates of soft tissue complications and wound related problem. The study represents 20 patients with intraarticular calcaneal fractures (Sander’s type II and III) treated with Sinus Tarsi approach between April 2018 to August 2019. Functional recovery was evaluated according to Maryland’s Foot score (MFS) Modified by Dr. Rajiv N. Daveshwar. MFS score for16 patients were noted excellent and 4 pateints were good. Fixation with Sinus Tarsi approach provides adequate visualization for Sander’s typeII and III intraarticular calcaneal fracture with advantage of no wound releted complication, good exposure to posterior facet and subtalar joint and reduce surgery time.