Open reduction and internal fixation of calcaneus fractures through a sinus tarsi approach

Abstract

Introduction: The wound complication rate for open reduction and internal fixation of calcaneus fractures through the extensile approach is 30%. Due to this high rate of wound complications, many surgeons prefer conservative management. If post-traumatic arthritis develops, the clinical results of a subtalar fusion are better if the posterior facet is reduced and the shape of the calcaneus restored. The sinus tarsi approach utilises a much smaller incision and indirect reduction techniques limiting the need for a large incision while still providing good exposure of the posterior facet for anatomic reduction.The purpose of this study is to present the technique for open reduction and internal fixation through a sinus tarsi approach, to assess the adequacy of reduction and the complication rate.