Effect of sinus tarsi approach in patients with calcaneus fracture combined with high risk factors of incision complications
10.3760/cma.j.issn.1673-4904.2019.09.008
- VernacularTitle: 经跗骨窦入路治疗合并切口并发症高危因素的跟骨骨折疗效观察
- Author:
Zhenyu ZHANG
1
;
Jing MA
1
;
Xuezhong ZHANG
1
;
Wei WANG
2
Author Information
1. Department of Orthopedics, Jinzhou Center Hospital, Liaoning Jinzhou 121000, China
2. Department of Orthopedics, the First Affiliated Hospital of Jinzhou Medical University, Orthopedics Institute of Jinzhou Medical University, Liaoning Jinzhou, 121000, China
- Publication Type:Journal Article
- Keywords:
Calcaneus;
Fractures, bone;
Postoperative complications;
Sinus tarsi approach
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(9):801-804
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effect of sinus tarsi approach in patients with calcaneus fracture combined with high risk factors of incision complications.
Methods:The clinical data of 18 patients with calcaneus fracture combined with high risk factors of incision complications in Jinzhou Center Hospital from July 2015 to July 2017 were retrospectively analyzed. In all patients, combined diabetes mellitus was in 8 cases, long-term smoking history was in 13 cases, combined diabetes mellitus and smoking was in 3 cases. Active and passive smoking were prohibited in hospital, and fasting and postprandial blood glucose were monitored and controlled. In order to reduce swelling, plaster fixation, limb elevation and cold compression were performed. After the blood glucose was stable and local swelling was reduced, surgery was performed via the sinus tarsi approach. After 1 to 2 weeks of postoperative gypsum fixation, the non-weight-bearing function exercise was allowed. After early activities and late loading, the weight-bearing function exercise began at least 12 weeks after surgery.
Results:All patients were followed up for 12 to 20 months (mean 14.3 months). No skin necrosis and infection occurred. All fractures healed, and fracture healing time was 11 to 16 weeks, with mean time of 13.5 weeks. The American Orthopaedic Foot and Ankle Society Ankle Hindfoot score was used to evaluate the curative effect. Six cases were excellent, 10 cases were good, and 2 cases were passable.
Conclusions:Treatment of calcaneal fracture via tarsal sinus approach has little interference with soft tissue. It is especially suitable for the patients with high risk factors of incision complications, which can effectively avoid the occurrence of incision complications. At the same time, the postoperative functional recovery is satisfactory. It is a good approach in patients with calcaneal fracture combined with high risk factors of incision complications.
