A Retrospective Review of Calcaneal Fractures Treated With Minimally Invasive Sinus Tarsi Approach for Open Reduction and Internal Fixation

Abstract

This study analyses patients that have undergone open reduction and internal fixation of the calcaneus, through a minimally invasive sinus tarsi approach. The primary outcome measure of this study was the degree to which the architecture of the calcaneus was restored, with the secondary outcome measure being the rate of complications attributable to the surgery. Patients were identified retrospectively from theater records. Demographic information was gathered. Outcome measures included: (1) the accuracy of reduction achieved and (2) complication rates. Preoperative and postoperative radiographic measurements, were recorded. Patients’ medical notes were analyzed for any recorded complications. Thirty patients with calcaneal fractures were identified. Of the eligible patients 87% were male, 33% were active smokers, and mean age was 43.5 years. Seventy-six percent of patients had restoration of their Bohler’s Angle to within the normal range. There were no recorded wound complications. This case series shows that a minimally invasive sinus tarsi approach can be used to effectively achieve near anatomic reduction with low rates of complications. Level of Evidence: Diagnostic Level IV–case series. See Instructions for Authors for a complete description of levels of evidence.