J Korean Foot Ankle Soc.
2013 Dec;17(4):257-263.
The Sinus Tarsi Approach for the Treatment of Intra-Articular Calcaneal Fractures
- Affiliations
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- 1Department of Orthopaedic Surgery, Inha University School of Medicine, Incheon, Korea. bskim.os@inha.ac.kr
- 2Department of Orthopaedic Surgery, Okayama Medical Center, Okayama, Japan.
Abstract
- Open reduction and internal fixation is currently considered as a gold standard of treatment in most of the intra-articular calcaneal fractures. Among various different approaches, extensile lateral approach is the most popular since it provides good exposure to the subtalar joint. However, wide skin incision followed by extensive soft tissue dissection leading to increased risk of wound breakdown is the most serious drawback. Sinus tarsi approach, a minimal invasive technique to approach the subtalar joint and reduce the intra-articular calcaneal fractures, provides good clinical outcome and less wound complications compared to the extensile lateral approach. This article introduces the surgical technique and review of the literature regarding the sinus tarsi approach.
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