The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Open reduction and internal fixation with locking plate through tarsal sinus versus lateral L-shaped approaches for calcaneal fractures

Author : PANG Hui1, SUN Jin-chuan1, WU Hong-bin2, GAO Jia-zhi3, JIANG Hou-sen3.     
Working unit : 1. People's Hospital of Binzhou City, Binzhou 256600, China; 2. Traditional Chinese Medicine Hospital of Changle County, Weifang 262400, China;3. People's Hospital of Weifang City, Weifang 261000, China
Page : 1877-1881.
Key words : calcaneus fractures, tarsal sinus approach, lateral L-shaped approach, locking plate
    Abstract: [Objective] To compare the clinical outcomes of the tarsal sinus approach versus the lateral L-shaped approach in open reduction and internal fixation (ORIF) with locking plate for calcaneal fracture. [Methods] A retrospective study was done on 62 patients who underwent ORIF with locking plate for unilateral closed calcaneal fractures from August 2014 to November 2017 in our hospital. Of them, 32 patients received ORIF through the tarsal sinus approach, 30 patients received ORIF through the lateral L-shaped approach. The clinical documentations were compared between the two groups. [Results] All the patients received a successful operation. The sinus group spent significantly shorter time for surgical preparation preoperatively and operation time, associated with significantly less intraoperative blood loss than the L- shaped group (P<0.05) . No sural nerve injury and necrosis of incision skin edge happened in anyone except superficial wound infection in 1 patient of the sinus group, whereas sural nerve injury in 1, necrosis of local skin in 3 and superficial infection in 2 patients of the L-shaped group occurred, which proved statistically significant regarding the early complication rate of 3.13% versus 20.00% respectively (P<0.05) . The follow up period lasted for 12~18 months. As time went postoperatively the AOFS scores significantly increased in both group (P<0.05) , however, the sinus group got significantly higher AOFS score than the L-shaped group at 3 months and the latest follow up (P<0.05) . In term of radiographic assessment, both Bohler's angle and Gissane's angle significantly increased at the latest follow-up compared with those before operation in the two group (P<0.05) . No statistically significant differences were found between the two groups in the 2 parameters at any corresponding time point (P>0.05) . [Conclusion] The tarsal sinus approach for ORIF with locking plate is effective, safe and reliable for calcaneal fractures, with advantage of reducing incision- related complications over the conventional lateral L-shape approach.
summary:
Open reduction and internal fixation with locking plate through tarsal sinus versus lateral L-shaped approaches for calcaneal fractures   
PANG Hui1, SUN Jin-chuan1, WU Hong-bin2, GAO Jia-zhi3, JIANG Hou-sen3.
Orthop J Chin, 27(20):   1877-1881.