Comparison of sinus tarsi approach and lateral L-shaped incision for the treatment of Sanders type Ⅱ calcaneal fractures
WU Rong
MIN Ji-kang
HUANG Shu-feng
ZHU Jian-xiang
LI Qiang
MA Ju-lei
Abstract：Objective To investigate a more reasonable and effective surgical approach for the surgery of Sanders type Ⅱcalcaneal fracture ,by comparing the treatment between sinus tarsi approach combined with lateral longitudinal approach and traditional lateral L-type incision.Methods Forty patients with unilateral Sanders typeⅡcalcaneal fracture were recruited from Jan .2014 to Jan.2015,and were randomly divided into observation group and control group ,with 20 cases in each group .The baseline information including age ,falling height ,interval time from injury to operation was collected .All patients in the observation group were performed open reduction and in-ternal fixation ( ORIF ) using sinus tarsi approach combined with lateral longitudinal approach , and patients in the control group was treated by lateral L-type incision .The B?hler angle and Gissane angle before and after operation and at the final follow-up was recorded and compared between the two groups .Maryland score and the 36-item short-form(SF-36) were used to evaluate the therapeutic effect after operation .Results There was no significant differ-ence in age ,falling height and interval time from injury to operation between the two groups .The average follow-up time was (13.4 ±2.0) months in the observation group ,and (14.3 ±2.4) months in the control group.One case of incision swelling and 1 case of skin necrosis were found in the control group ,and no wound complication was ob-served in the observation group .All patients in the two groups were obtained bone union at the final follow-up. B?hler angle and Gissane angle in the two groups were significantly better after operation in comparison to before op -eration(P<0.05).No significant difference was found in the median Maryland score and SF-36 score between the two groups(P>0.05).Conclusion There is similar therapeutic effect in the management of Sanders type Ⅱcal-caneal fractures between the ORIF via sinus tarsi approach combined with lateral longitudinal approach and ORIF via a lateral L-type incision,but the former way has advantages such as less incision complication and lower stiffness subtalar joint rate .
Keywords：calcaneal fracturessinus tarsiapproachfixation
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：6( 834-839 )