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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Sinus Tarsi Approach for Calcaneal Fractures: The New Gold Standard?

Gabriel Khazen¹, Cesar Khazen Rassi¹

¹Hospital de Clinicas Caracas, Av Panteón, San Bernardino, Caracas 01050, Venezuela.

Foot and Ankle Clinics

|February 5, 2021

Summary

Displaced intra-articular calcaneal fractures are challenging to treat. The sinus tarsi approach is increasingly favored over the extensile lateral approach due to lower complication rates and better outcomes.

Keywords:

Approach Calcaneus Fractures Sinus tarsi Surgical

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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Area of Science:

Orthopedic Surgery
Trauma Surgery
Skeletal Anatomy

Background:

Displaced intra-articular calcaneal fractures present significant treatment challenges.
Restoring posterior facet anatomy, width, length, and height is crucial for optimal outcomes.
The extensile lateral approach offers visualization but carries a high complication rate.

Purpose of the Study:

To evaluate the efficacy and safety of the sinus tarsi approach for displaced intra-articular calcaneal fractures.
To compare the sinus tarsi approach with the extensile lateral approach.
To determine if the sinus tarsi approach represents a new gold standard in calcaneal fracture treatment.

Main Methods:

Review of recent evidence comparing surgical approaches for calcaneal fractures.
Analysis of complication rates associated with extensile lateral and sinus tarsi approaches.
Assessment of anatomical restoration achieved by each surgical technique.

Main Results:

The sinus tarsi approach is favored in recent literature over the extensile lateral approach.
The sinus tarsi approach is associated with a lower rate of complications.
Evidence suggests the sinus tarsi approach allows for adequate reduction and restoration of calcaneal dimensions.

Conclusions:

The sinus tarsi approach is a less invasive and effective method for treating displaced intra-articular calcaneal fractures.
Growing evidence supports the sinus tarsi approach as the preferred surgical technique.
The sinus tarsi approach may be considered the new gold standard for these complex fractures.