Direct Reduction through Limited Sinus Tarsi Approach for Displaced Pediatric and Adolescent Intraarticular Calcaneal Fracture.

Faculty Medicine Year: 2021
Type of Publication: ZU Hosted Pages:
Authors:
Journal: egyption orthopedic journal wolters kulers Volume:
Keywords : Direct Reduction through Limited Sinus Tarsi    
Abstract:
Purpose: This retrospective study aims to evaluate the results of the percutaneous pinning for displaced intraarticular calcaneal fracture through a limited sinus tarsi approach. Patients and Methods: Six displaced intraarticular calcaneal fractures in five patients (four boys and a girl) underwent direct reduction through the sinus tarsi approach and percutaneous pinning. There were three right-sided calcaneal fractures, one left-sided and one bilateral calcaneal fracture. The mean age at the time of surgery was 9.3 years (ranging from 8-12 years). Results: Results were evaluated both clinically and radiologically. According to the American Orthopedic Foot and Ankle Society scoring system, the mean score of Sander type II fractures was 91.5 ± 2.1and the mean score of type III was 90.03 ± 1.2. There was a statistically significant increase of the mean Bohler angle from 14.5±1.05 pre-operatively to 31.17±2.04 postoperatively. Conclusion: Direct reduction through limited sinus tarsi approach is the gold standard technique for pediatric and adolescent displaced intra-articular fracture calcaneus. It gives adequate exposure with minimal wound complications.
   
     
 
       

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