A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series
Vol 9 | Issue 1 | January-June 2023 | page: 18-22 | Sampat Dumbre Patil, Gurunath Wachche, Harsh R. Vyas, Rohil Singh Kakkar, Vaishali Dumbre PatilAddress of Correspondence
DOI: https://doi.org/10.13107/ti.2023.v09.i01.033
Authors: Sampat Dumbre Patil [1], Gurunath Wachche [2], Harsh R. Vyas [1], Rohil Singh Kakkar [1], Vaishali Dumbre Patil [3]
[1] Department of Orthopaedics, Sahyadri Super Speciality Hospital, Hadapsar, Pune, Maharashtra, India.
[2]Department of Orthopaedics, Dr. V M Government Medical College, Solapur, Maharashtra, India.
[3] Department of Radiology, Oasis Orthopaedic and Sonography Clinic, Hadapsar, Pune, Maharashtra.
Address of Correspondence
Dr. Harsh R. Vyas
Department of Orthopaedics, Sahyadri Super Speciality Hospital, Hadapsar, Pune, Maharashtra.
E-mail: drharshvyas333@gmail.com
Abstract
Introduction: Calcaneum fractures are the most common tarsal bone fractures accounting for 2% of all bone fractures and approximately 60 % of tarsal bone fractures. Management of intra-articular calcaneal fractures have evolved from conservative to open and minimally invasive surgeries till date. There are still some controversies in treating intra articular displaced calcaneum fractures and treatment modalities continue to evolve with different surgical techniques and implants. We present a large retrospective study series of a safe and simple technique of managing intra-articular calcaneum fractures through sinus tarsi approach and fixation with transarticular Kirschner wires with or without sustentacular screw.
Methods: This retrospective study was done from January 2016 to March 2019 and aimed to evaluate the radiological and functional outcomes in a series of 226 patients with displaced intra-articular fractures of calcaneum managed with a simple surgical technique treated with trans articular K wires with or without sustentacular screw through sinus tarsi approach. Statistical analysis was performed utilizing independent t-test using the p-value ≤0.5
Results: All 226 cases achieved union of fracture within 4 months of follow up and as per American Orthopaedic Foot and Ankle Society (AOFAS) scoring, 57.96% cases had excellent results, 23.45% cases had good and 18.58% cases had fair results respectively. Conclusion Fixation of displaced intra-articular calcaneum fractures with trans articular K wires with or without sustentacular screw through sinus tarsi approach is a soft tissue preserving surgical technique which restores the near normal biomechanics of the calcaneum.
Keywords: Calcaneum fractures, Heel injuries, Sinus tarsi approach, Minimally invasive surgery, Calcaneum fixation, K wire fixation
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| How to Cite this article: Patil SD, Wachche G, Vyas HR, Kakkar RS, Patil VD | A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series | January-June 2023; 9(1): 18-22 | https://doi.org/10.13107/ti.2023.v09.i01.33 |
