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Operative Fixation of Displaced Intra-articular Calcaneal Fractures: Sinus Tarsi Approach

March 01, 2017

Contributors: Kenneth A Egol, MD, FAAOS; Abhishek Ganta, MD; Hesham Saleh, BS; Sanjit R Konda, MD, FAAOS; Sanjit R Konda, MD, FAAOS

Introduction: This video demonstrates the technique for a sinus tarsi approach for calcaneal fracture fixation. Methods: The patient shown in the video is a 29-year-old woman who presented to the emergency department after falling down 15 stairs. Radiographs of the right foot demonstrated an intra-articular calcaneal fracture with depression of the subtalar joint articular surface and a displaced cuboid fracture. CT scans revealed a 5-mm depression of the articular surface. Results: The patient was indicated for surgical fixation of the calcaneal fracture via a sinus tarsi approach. Indications for the sinus tarsi approach include Sanders type II or type III calcaneal fractures or a tongue-type intra-articular calcaneal fracture. The advantages of the sinus tarsi approach include a faster time to surgery and decreased risk of wound dehiscence or necrosis. Conclusion: The sinus tarsi approach for calcaneal fracture fixation allows for excellent visualization of the joint surface. Via a combination of plates specifically designed for the sinus tarsi approach and percutaneous screw fixation, anatomic reconstruction of the joint and stable fixation of the calcaneus can be achieved.

Results for "Foot and Ankle"

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