Comparison of Calcaneal Exposure Through the Extensile Lateral and Sinus Tarsi Approaches

Bedigrew, Katherine M.; Blair, James A.; Possley, Daniel R.; Kirk, Kevin L.; Hsu, Joseph R.

doi:10.1177/1938640017713616

Cited by 18 publications

(17 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is worth noting that, according to previous reports, although the occurrence of soft-tissue complications can be effectively reduced through the use of minimally invasive techniques, the STA still provides poor visualization, inadequate reduction, and unreliable fixation compared to the ELA (19). More specifically, the reduction of incisionrelated complications requires minimal incisions, and intraarticular fractures require good anatomic reduction (4,20).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the modified sinus tarsi approach versus the extensile lateral approach for displaced intra-articular calcaneal fractures

Ma¹,

Zhao²,

Zhang³

et al. 2021

Ann Transl Med

View full text Add to dashboard Cite

Background: This study sought to assess and compare the clinical efficacy and complications of a modified sinus tarsi approach (MSTA) and the extensile lateral approach (ELA) in the treatment of displaced intraarticular calcaneal fractures. Methods: This retrospective study enrolled 108 patients (117 feet) with Sanders II-IV calcaneal fractures, including 52 patients (56 feet) in the MSTA group and 56 patients (61 feet) in the ELA group. The functional and radiological results of the affected feet were analysed retrospectively. Functional evaluation included American Orthopaedic Foot and Ankle Society (AOFAS), visual analog scale (VAS), and Short Form-36 Health Survey (SF-36). Radiological evaluation included preoperative and postoperative changes in the Bohler Angle, Gissane Angle, length, width, and height of the calcaneus. The postoperative complications were also collected and analysed. The independent-samples t-test and analysis of variance (ANOVA)were employed to compare differences between the two groups. Differences within the same group were compared by paired Student's t-test, and categorical variables were compared using the chi-square test. Results:The postoperative functional and radiological results showed that the mean AOFAS, VAS and physical component summary of SF-36 scores in the MSTA group were higher than those in the ELA group (P<0.05). After surgery, the Bohler and Gissane angles were significantly improved in both groups, as were the length, width, and height of the calcaneus; no statistically significant differences existed between the two groups. The incidences of wound healing complications and postoperative sural nerve injury were lower in the MSTA group than in the ELA group (P<0.000). Conclusions:The MSTA can achieve similar effects to the ELA in terms of anatomical reconstruction and functional recovery. It also can also effectively reduce the incidences of wound healing complications and postoperative sural nerve injury, and shorten the length of hospital stay.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of the modified sinus tarsi approach versus the extensile lateral approach for displaced intra-articular calcaneal fractures

Ma¹,

Zhao²,

Zhang³

et al. 2021

Ann Transl Med

View full text Add to dashboard Cite

show abstract

“…According to the previous reports, it is worth noting that although the use of minimally invasive techniques can effectively reduce the occurrence of soft tissue complications, the sinus tarsi approach still suffers from poor visualization, inadequate reduction, and unreliable xation when compared to the ELA 19 . More speci cally, the reduction of incision-related complications requires minimal incisions, while intra-articular fractures require good anatomic reduction 4,20 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two Surgical Approaches for Displaced Intra-Articular Calcaneal Fractures: The Modified Sinus Tarsi Approach Versus The Extensile Lateral Approach

Zhao

Zhang

et al. 2021

Preprint

View full text Add to dashboard Cite

The purpose of this study was to assess the clinical efficacy and complications of a modified sinus tarsi approach (MSTA) and the extensile lateral approach (ELA) for the treatment of displaced intra-articular calcaneal fractures. In a retrospective design, 108 patients (117 feet) with Sanders II~IV calcaneal fractures were enrolled in this study, including 52 patients (56 feet) in the MSTA group and 56 patients (61 feet) in the ELA group. The postoperative functional and radiological results showed that the average AOFAS scores and VAS scores of the MSTA group were higher than that of the ELA group (p<0.05). After surgery, the Bohler Angle, Gissane Angle, and the length, width, and height of the calcaneus were significantly improved in the MSTA group and the ELA group, but there were no statistically significant differences between the two groups. The incidences of wound healing complications and postoperative sural nerve injury were lower in the MSTA group than in the ELA group (p<0.000). In conclusion, the MSTA was able to achieve similar effects of anatomical reconstruction and function recovery as the ELA, while also effectively reducing the incidences of wound healing complications and postoperative sural nerve injury and shortening the length of hospital stay.

show abstract

“…According to the previous reports, it is worth noting that although the use of minimally invasive techniques can effectively reduce the occurrence of soft tissue complications, the sinus tarsi approach still suffers from poor visualization, inadequate reduction, and unreliable xation when compared to the ELA 18 . More speci cally, the reduction of incision-related complications requires minimal incisions, while intra-articular fractures require good anatomic reduction 4,19 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two Surgical Approaches for Displaced Intra-Articular Calcaneal Fractures: The Modified Sinus Tarsi Approach Versus The Extensile Lateral Approach

Zhao

Yang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Displaced intra-articular calcaneal fractures (DIACF) can seriously affect foot function. The conventional surgical approach is the extensile lateral approach (ELA), but it has a high incidence of complications. To reduce the complications associated with ELA, many minimally invasive approaches have been suggested. The purpose of this study was to assess the clinical efficacy and complications of the ELA and a modified sinus tarsi approach (MSTA) for the treatment of DIACF.Methods: One-hundred eight patients (107 feet) with Sanders II~IV calcaneal fractures were retrospectively analysed, including 52 patients (56 feet) in the MSTA group and 56 patients (61 feet) in the ELA group. The functional and radiological results of the affected foot were analysed retrospectively. Functional evaluation included AOFAS, VAS, and SF-36. Radiological evaluation included preoperative and postoperative changes in the Bohler Angle, Gissane Angle, length, width, and height of the calcaneus. The postoperative complications were also collected and analysed. Results: The average AOFAS scores of the MSTA group and the ELA group were 80.57±7.80 and 77.34±8.29 (p=0.033), respectively. The postoperative VAS scores of the MSTA group and the ELA group were 1.66±0.98 and 2.03±0.98 (p=0.043), respectively. The postoperative SF-36-PCS score of the MSTA group was superior to that of the ELA group (77.91±5.03 vs. 74.20±5.07, p<0.000), while there was no significant difference in the SF-36-MCS score (74.84±7.77 vs 72.70±8.21, p=0.153). After surgery, the Bohler Angle, Gissane Angle, and the length, width, and height of the calcaneus were significantly improved in the MSTA group and the ELA group, but there were no statistically significant differences between the two groups. The incidence of wound healing complications in the MSTA group and the ELA group was 5.36% and 14.75% (p < 0.000). Sural nerve injury and subtalar arthritis complications were less common in the MSTA group than in the ELA group (p<0.000).Conclusion: For DIACF, the MSTA was able to achieve similar effects of anatomical reconstruction and postoperative foot function recovery as the ELA, while also effectively reducing the incidence of postoperative sural nerve injury and wound healing complications and shortening the length of hospital stay.

show abstract

Comparison of Calcaneal Exposure Through the Extensile Lateral and Sinus Tarsi Approaches

Abstract: Therapeutic, Level V.

Cited by 18 publications

References 29 publications

Comparison of the modified sinus tarsi approach versus the extensile lateral approach for displaced intra-articular calcaneal fractures

Comparison of the modified sinus tarsi approach versus the extensile lateral approach for displaced intra-articular calcaneal fractures

Comparison of Two Surgical Approaches for Displaced Intra-Articular Calcaneal Fractures: The Modified Sinus Tarsi Approach Versus The Extensile Lateral Approach

Comparison of Two Surgical Approaches for Displaced Intra-Articular Calcaneal Fractures: The Modified Sinus Tarsi Approach Versus The Extensile Lateral Approach

Contact Info

Product

Resources

About