Clinical analysis on the curative effect of tarsal sinus incision for the treatment of 54 cases of intra-articular calcaneal fractures
LIU Guo-ming
LIN Shi-shui
ZHOU Shi-guo
Abstract：Objective To investigate the clinical efficacy of tibial sinus incision in patients with intra-articular calcaneal fractures. Methods Clinical data of the 54 patients with intra-articular calcaneal fractures,who received regular treatment in our hospital during 2013 to 2015 was analyzed retrospectively.There were 40 males and 14 females, aged 22 to 56 (average age, 42.3).There were 32 cases of high-falling injury, 18 cases of traffic injury, and 4 cases of other causes.For those calcaneal fractures with involvement of joint, calcaneal plate fixation was applied via tarsal sinus incision, with bone grafting when necessary.Then the therapeutic effect of locking plate fixation with tarsal sinus incision was evaluated. Results X-ray confirmed a satisfactory degree of anatomy structure.Bohler angle and Gissane's angle, had been corrected to on average of 38 degrees and 135 degrees, respectively.Forty-six cases were followed-up for 12 months in average.Maryland foot score system was adopted to measure the therapeutic efficacy.And the total effective rate was 86.9%. Conclusion The application of tarsal sinus incision approach and lateral calcaneal plate fixation, with additional bone grafting if necessary, for those with intra-articular calcaneal fractures can gain satisfactory outcome without adverse reaction.It can be regarded as a safe and effective treatment, thus it is worthy of clinical promotion.
Keywords：tarsal fracturesinus incisionminimally invasive
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 618-620 )