Effect of the tarsal sinus approach in the treatment of calcaneal fractures

ObjectiveTo compare the effects between tarsal sinus approach and traditional approach in the treatment of calcaneal fractures.

MethodsSixty patients with calcaneal fractures were divided into the tarsal sinus group(34 cases treated with tarsal sinus approach) and traditional group(26 cases treated with traditional surgical approach).The operative time, postoperative drainage volume, length of hospital stay, postoperative complications and Gissane angle and Bohler angle after 3 months of operation were compared between two groups, and the recovery of patients after 6 months of operation in two groups were analyzed by ankle hind foot scale(AOFAS).

ResultsThere was no statistical significance in the operative time between two groups(P>0.05), and the postoperative drainage volume and length of stay in tarsal sinus group were significantly lower than those in traditional group(P < 0.01).After 3 months of operation, the Gissane angle and in Bohler angle two groups were significantly improved compared with those before treatment, and the Gissane angle in tarsal sinus group was significantly better than that in traditional group after surgery(P < 0.01).The incidence rate of postoperative complications in tarsal sinus group was lower than that in traditional group(P < 0.05), and the AOFAS score in tarsal sinus group after 6 months of operation was better than that in traditional group(P < 0.05).

ConclusionThe clinical efficacy of the tarsal sinus approach for treating calcaneal fractures is better.It can effectively improve the recovery of patients, and reduce the occurrence of postoperative complications.