Extensile lateral versus sinus tarsi approach for displaced, intra-articular calcaneal fractures: a meta-analysis.

Autor: Mehta CR; Orthopaedics Department, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, Australia. cyrusmehta1@gmail.com., An VVG; Orthopaedics Department, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, Australia., Phan K; Orthopaedics Department, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, Australia., Sivakumar B; Orthopaedics Department, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, Australia., Kanawati AJ; Orthopaedics Department, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, Australia., Suthersan M; Orthopaedics Department, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, Australia.
Jazyk: angličtina
Zdroj: Journal of orthopaedic surgery and research [J Orthop Surg Res] 2018 Sep 24; Vol. 13 (1), pp. 243. Date of Electronic Publication: 2018 Sep 24.
DOI: 10.1186/s13018-018-0943-6
Abstrakt: 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.
Databáze: MEDLINE
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