Published in:
Open Access
01-12-2018 | Systematic review
Extensile lateral versus sinus tarsi approach for displaced, intra-articular calcaneal fractures: a meta-analysis
Authors:
Cyrus Rashid Mehta, Vincent V. G. An, Kevin Phan, Brahman Sivakumar, Andrew J. Kanawati, Mayuran Suthersan
Published in:
Journal of Orthopaedic Surgery and Research
|
Issue 1/2018
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Abstract
Background
Operative management of displaced, intra-articular calcaneal fractures is associated with improved functional outcomes but associated with frequent complications due to poor soft tissue healing. The use of a minimally invasive sinus tarsi approach to the fixation of these fractures may be associated with a lower rate of complications and therefore provide superior outcomes without the associated morbidity of operative intervention.
Methods
We reviewed four prospective and seven retrospective trials that compared the outcomes from the operative fixation of displaced intra-articular calcaneal fractures via either an extensile lateral approach or minimally invasive fixation via a sinus tarsi approach.
Results
Patients managed with a sinus tarsi approach were less likely to suffer complications (OR = 2.98, 95% CI = 1.62–5.49, p = 0.0005) and had a shorter duration of surgery (OR = 44.29, 95% CI = 2.94–85.64, p = 0.04).
Conclusion
In displaced intra-articular calcaneal fractures, a minimally invasive sinus tarsi approach is associated with a lower complication rate and quicker operation duration compared to open reduction and internal fixation via an extensile lateral approach.