Percutaneous Locked Plate Fixation of Displaced Intra Articular
Fractures of Calcaneus through Sinus Tarsi Approach A Case
Series with a Technical Note
Authors:
Mane AN*, Sourav NK, Panchnadikar VM, Gandhi S
Author Affiliations
Mane AN* DNB Orthopedic surgery, Deenanath Mangeshkar Hospital and research center, India Email:
dr.akashmane54@gmail.com
Sourav NK DNB Orthopedic surgery, Deenanath Mangeshkar Hospital and research center, India
Panchnadikar VM DNB Orthopedic surgery, Deenanath Mangeshkar Hospital and research center, India
Gandhi S DNB Orthopedic surgery, Deenanath Mangeshkar Hospital and research center, India
Plate fixation with conventional lateral L-shaped incision is associated with skin necrosis and dehiscence. To overcome this problem sinus tarsi approach is now used for intra- articular calcaneus fracture osteosynthesis. Fracture fixation with the sinus tarsi approach requires a special calcaneal locking plate which is expensive as well as not readily available. Hence, we worked with locally made 1/3rd tubular plates/ reconstruction plates and CC screws through a sinus tarsi approach, in a minimally invasive plate osteosynthesis (MIPO) mode, to fix intra-articular calcaneus fractures. In this study, we present 4 cases of intraarticular calcaneus fractures managed with a sinus tarsi approach and 1/3rd tubular plate/ reconstruction plates. Calcaneal Bohler’s angle, and Gissane angle were measured preoperatively, postoperatively, and at 2-year follow-up. Functional outcomes were assessed based on American Orthopedic Foot and Ankle Society (AOFAS) ankle/hindfoot score. By this study we conclude that Intra Articular calcaneus fracture can be fixed percutaneously using a 1/3rd tubular plate/ reconstruction plate and CC screws, rather than a special calcaneal plate, through a sinus tarsi approach, which gives good intraoperative reduction/fixation and good functional outcome.
Keywords
Sinus Tarsi Approach; 1/3rd Tubular Plate; Reconstruction Plates; American Orthopedic Foot and Ankle Society
(AOFAS) ankle/hindfoot Score; Percutaneous Fixation