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Same wound complications between extensile lateral approach and sinus tarsi approach for displaced intra-articular calcaneal fractures with the same locking compression plates fixation: a 9-year follow-up of 384 patients

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

Some previous studies have demonstrated that the sinus tarsi approach (STA) is a better therapeutic method than the extensile lateral approach (ELA) for displaced intra-articular calcaneal fractures. In a number of those previous studies, two different implants were used in the two approaches respectively. There is a question: if using the same implants, is STA still a better method than ELA? To answer this question, this retrospective study was designed.

Methods

Between December 2009 and December 2018, 384 patients with displaced intra-articular calcaneal fractures were treated by ELA or STA with the same locking compression plates fixation. Data on demographics, wound complications, Bohler’s angle, crucial angle of Gissane, walking visual analogue scale (walking-VAS) and American Orthopedics Foot and Ankle Society (AOFAS) ankle–hindfoot scale were recorded and analyzed.

Results

230 patients were treated by ELA, while 154 patients were treated by STA. Radiological and clinical results were evaluated. There were no significant differences between the two groups with respect to wounds complications, Bohler’s angle, crucial angle of Gissane, walking-VAS and AOFAS ankle–hindfoot scale.

Conclusions

Under the condition of using the same locking compression plates, there were no significant differences between ELA and STA for the treatment of displaced intra-articular calcaneal fractures with regard to wound complications, radiological and clinical outcomes.

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Authors and Affiliations

  1. Department of Orthopedics, Baoan Central Hospital of Shenzhen, The Fifth Affiliated Hospital of Shenzhen University, No. 233 Xixiang Section of Guang Shen Road, Xixiang Street, Baoan District, Shenzhen, 518102, Guangdong, China

    Linbo Zhuang, Lisheng Wang, Dongming Xu, Zhiyong Wang & Jinchang Zheng

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  1. Linbo Zhuang
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  2. Lisheng Wang
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  3. Dongming Xu
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  4. Zhiyong Wang
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Correspondence to Linbo Zhuang.

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All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Zhuang, L., Wang, L., Xu, D. et al. Same wound complications between extensile lateral approach and sinus tarsi approach for displaced intra-articular calcaneal fractures with the same locking compression plates fixation: a 9-year follow-up of 384 patients. Eur J Trauma Emerg Surg 47, 1211–1219 (2021). https://doi.org/10.1007/s00068-019-01221-2

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  • DOI: https://doi.org/10.1007/s00068-019-01221-2

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