Sinus Tarsi Approach With Distractor-Aided Reduction of Displaced Intra-articular Calcaneus Fracture

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Foot and Ankle Surgery

Background:

• Intra-articular calcaneus fractures are complex injuries requiring precise surgical management.
• Traditional extensile lateral approaches can lead to significant wound complications.

Purpose of the Study:

• To review the sinus tarsi approach for operative fixation of intra-articular calcaneus fractures.
• To highlight its advantages over the extensile lateral approach.

Main Methods:

• Description of the sinus tarsi approach with a fixed distractor.
• Review of operative indications, imaging, patient positioning, and surgical technique.
• Presentation of a case study involving a 46-year-old male patient.

Main Results:

• The sinus tarsi approach is associated with decreased wound complication rates.
• It allows for earlier surgical intervention.
• Satisfactory anatomical restoration is achievable.

Conclusions:

• The sinus tarsi approach is a viable and effective method for managing intra-articular calcaneus fractures.
• It provides a less invasive alternative with favorable outcomes.
• This technique facilitates anatomical reduction and stable fixation.