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Does robot-assisted percutaneous hollow screw placement combined with tarsal sinus incision reduction in the treatment of calcaneal fracture perform better at a minimum two year follow-up compared with traditional surgical reduction and fixation?

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Abstract

Purpose

We aimed to evaluate the safety and efficacy of robot-assisted percutaneous hollow screw placement combined with tarsal sinus incisions for treating calcaneal fractures.

Methods

Clinical data of 50 patients with calcaneal fractures treated from January 2018 to June 2020 were analyzed retrospectively. Twenty-six patients (26 feet) were included in the traditional group (traditional surgical reduction and internal fixation) and 24 (24 feet) in the robot-assisted group (robot-assisted internal fixation of tarsal sinus incision). The operation time, C-arm fluoroscopy dose, fracture healing time, Gissane angle, Böhler angle, calcaneal width, calcaneal height, visual analogue scale (VAS) scores, and American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores were compared between the groups preoperatively and two years postoperatively.

Results

Operation time was significantly longer in the traditional group than in the robot-assisted group, while the intraoperative C-arm fluoroscopy dose was significantly lower in the robot-assisted than in the traditional group (P < 0.05). Both groups were followed up for 24–26 months (average, 24.9 months). Two years postoperatively, the Gissane angle, Böhler angle, calcaneal height, and calcaneal width improved significantly in both groups, without significant differences. Fracture healing time was not significantly different in both groups (P > 0.05). The two year postoperative VAS and AOFAS scores in both groups were significantly higher than the preoperative scores, but the robot-assisted group postoperative AOFAS scores were significantly higher than those in the traditional group (t =  − 3.775, P = 0.000).

Conclusion

Robot-assisted internal fixation of tarsal sinus incision is effective in treating calcaneal fractures with satisfactory long-term follow-up outcomes.

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Data Availability

The complete data and materials described in this study are not publicly available due anonymity purposes but are available from the Department of Orthopaedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China on reasonable request.

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Acknowledgements

Xinwei Yuan and Ke Tan contributed equally to this work. The authors thank all of the patients who participated in the study.

Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Orthopedic Surgery and Orthopedic Research Institute, School of Medicine, West China Hospital and West China, Sichuan University, Chengdu, 610041, China

    Xinwei Yuan & Hui Zhang

  2. Department of Orthopaedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, 610072, China

    Xinwei Yuan, Ke Tan, Jiang Hu & Bin Zhang

Authors
  1. Xinwei Yuan
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  2. Ke Tan
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  4. Bin Zhang
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Contributions

Xinwei Yuan, Ke Tan, and Bin Zhang made substantial contributions to the acquisition, analysis, and interpretation of the data. Xinwei Yuan was responsible for the conception and design of the study and drafting and writing of this manuscript. Hui Zhang and Bin Zhang made substantial contributions to writing ideas and manuscript revision. Jiang Hu provided administrative support required to conduct the study. All the authors confirm the authenticity of the raw data. All authors have read and approved the final manuscript.

Corresponding authors

Correspondence to Bin Zhang or Hui Zhang.

Ethics declarations

Ethics approval

This study was performed in accordance with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, China (Date 2019.10.30/No.298).

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

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Consent to publish was obtained from all participants.

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The authors declare that they have no conflict of interests.

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Xinwei Yuan and Ke Tan contributed equally to this work.

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Yuan, X., Tan, K., Hu, J. et al. Does robot-assisted percutaneous hollow screw placement combined with tarsal sinus incision reduction in the treatment of calcaneal fracture perform better at a minimum two year follow-up compared with traditional surgical reduction and fixation?. International Orthopaedics (SICOT) 47, 1575–1581 (2023). https://doi.org/10.1007/s00264-023-05752-7

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  • DOI: https://doi.org/10.1007/s00264-023-05752-7

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