Role of Subtalar Arthroscopy in Operative Treatment of Sanders Type 2 Calcaneal Fractures Using a Sinus Tarsi Approach

Park, Chul-Hyun; Yoon, Doo Hyung

doi:10.1177/1071100717746181

Cited by 25 publications

(28 citation statements)

References 42 publications

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“…Of the studies, 9 of 10 reported the AOFAS anklehindfoot score, 4 reported the SF-36, 3 reported the VAS score, and 2 reported the Calcaneal Fracture Scoring System scores. 9,14,15,23,[29][30][31][32]34,40,41 The mean AOFAS score for APRF was 87.95 (range, 72.18-100) for follow-up periods of over 1 year. One study reported an AOFAS score for AAORIF using the sinus tarsi approach of 91.7 at >1-year follow-up.…”

Section: Calcaneus Fracturesmentioning

confidence: 99%

“…For ankle fractures, we identified a total of 17 studies. [2][3][4][5][6][7][8][10][11][12][13]16,27,29,[35][36][37][38] Among these, 2 were systematic reviews, 1 meta-analysis, 2 RCTs, 5 retrospective comparative studies, 4 retrospective series, 2 prospective series, and 1 case-control study. The studies reported a total of 952 patients.…”

Section: Ankle Fracturesmentioning

confidence: 99%

“…Two studies were review papers, 7 were retrospective case series, 3 were retrospective comparative studies, and 1 was a prospective case series. 9,[29][30][31] Of those that also used the Essex-Lopresti classification system (4/10 studies), 45.6% were classified as tongue-type, and 54.4% as joint-depression type (Table 3). 9,29,34,41 The proposed indications for arthroscopy use in these studies included visualization of potential concurrent pathology within the joint space and to confirm proper reduction and alignment of the posterior facet.…”

Section: Calcaneus Fracturesmentioning

confidence: 99%

“…9,[29][30][31] Of those that also used the Essex-Lopresti classification system (4/10 studies), 45.6% were classified as tongue-type, and 54.4% as joint-depression type (Table 3). 9,29,34,41 The proposed indications for arthroscopy use in these studies included visualization of potential concurrent pathology within the joint space and to confirm proper reduction and alignment of the posterior facet. 29 Studies that confirmed additional injury via arthroscopy reported subsequently performing arthroscopic hematoma evacuation, loose body removal, and debridement of fibrous tissue within the joint.…”

Section: Calcaneus Fracturesmentioning

confidence: 99%

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Arthroscopically Assisted Internal Fixation of Foot and Ankle Fractures: A Systematic Review

Williams

Joo

et al. 2021

Foot & Ankle Orthopaedics

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Background: Patients undergoing fixation for foot and ankle fractures may experience poor outcomes despite achieving apparent anatomic reduction. Adjunct arthroscopy to identify missed concomitant injuries and subtle displacements has been proposed as a vehicle to enhance functional results for these patients. The purpose of this review is to provide an overview of the literature regarding arthroscopically assisted open reduction and internal fixation (AAORIF) methods for commonly encountered foot and ankle injuries including pilon, ankle, and calcaneus fractures published to date. Methods: A systematic review of the literature was performed using the PubMed database to access all studies reporting on arthroscopically assisted internal fixation methods for pilon, ankle, and calcaneus fractures. Relevant publications were analyzed for details on their respective study designs, the operative technique used, clinical outcomes, outcome instruments used, and reported complications. Results: A total of 32 studies were included in this review. Two studies on pilon fractures, a randomized controlled trial (RCT) and case series with a total of 243 patients, met inclusion criteria. Postoperative articular reductions, bone union, and Mazur scores were found to be significantly better for those using adjunct arthroscopy when compared to those with no arthroscopy use. Patient-reported outcomes were overall reported as excellent for most patients, with no difference in patient-reported outcomes reported in the RCT. For ankle fractures, a total of 17 studies comprising of 2 systematic reviews, 1 meta-analysis, 2 RCTs, 5 retrospective comparative studies, 6 case series, and 1 case-control study met inclusion criteria for this review. Results were mixed, though the overall consensus was that arthroscopy use may help to better visualize concomitant intra-articular injuries and is generally considered safe with at least comparable outcomes to conventional methods. For the calcaneus, 13 studies met the criteria. Two studies were review papers, 8 were case series, and 3 were retrospective comparative studies. A total of 308 patients with 316 fractures formed the basis of analysis. In general, the studies found comparable functional outcomes between with or without arthroscopy use, but found that anatomical reductions were significantly improved with the use of arthroscopy. Conclusions: Arthroscopy shows promise as a valuable adjunct tool for internal fixation of foot and ankle fractures, though definitive conclusions as to its clinical significance have yet to be drawn because of limited evidence. Potential advantages related to the direct visualization of the fracture site and minimally invasive nature of arthroscopy were suggested throughout studies examined in this review. The presence of intra-articular pathology may lead to unexpectedly poor outcomes seen in some patients who undergo surgical fixation of ankle fractures with an otherwise anatomic reduction on postoperative radiographs; the ability to diagnose and address these lesions with arthroscopy, therefore, has the potential to improve patient outcomes. To date, however, available literature has not shown that significant improvements in anatomical reductions and treatment of these intra-articular injuries provide any improvement in outcomes over standard fixation methods. Few prospective randomized controlled studies have been performed comparing these 2 operative techniques, rendering any suggestion that AAORIF improves clinical outcomes over traditional open fixation difficult to justify. Further research is indicated for what may be a potentially promising surgical adjunct prior to advocating for its routine use in patients.

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Section: Calcaneus Fracturesmentioning

confidence: 99%

Section: Ankle Fracturesmentioning

confidence: 99%

Section: Calcaneus Fracturesmentioning

confidence: 99%

Section: Calcaneus Fracturesmentioning

confidence: 99%

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Arthroscopically Assisted Internal Fixation of Foot and Ankle Fractures: A Systematic Review

Williams

Joo

et al. 2021

Foot & Ankle Orthopaedics

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“…To reconstruct articular surface of the talocalcaneal joint, specialized centers apply an arthroscopic procedure [17].…”

Section: Introductionmentioning

confidence: 99%

Comminuted calcaneal fracture with avulsion of Achilles insertion treated with the use of intramedullary nailing in the modified original method

ADAMSKI¹

2018

Chir. Narzadow Ruchu Ortop. Pol.

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Calcaneal fracture has always posed a diagnostic and therapeutic problem. A thorough knowledge of the morphology of fracture, correct time to begin treatment and minimally-invasive surgery that allows for early physical mobilization of the operated limb are of critical importance in the treatment of calcaneal fractures. We operated a male patient with a high-impact injury with the use of a low-invasive, our original and modified method ensuring early kinesitherapy and achieved a good functional outcome of treatment.

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Calcaneus Fractures

Rammelt

Marx

2022

Foot and Ankle Disorders

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Role of Subtalar Arthroscopy in Operative Treatment of Sanders Type 2 Calcaneal Fractures Using a Sinus Tarsi Approach

Abstract: Level III, comparative series.

Cited by 25 publications

References 42 publications

Arthroscopically Assisted Internal Fixation of Foot and Ankle Fractures: A Systematic Review

Arthroscopically Assisted Internal Fixation of Foot and Ankle Fractures: A Systematic Review

Comminuted calcaneal fracture with avulsion of Achilles insertion treated with the use of intramedullary nailing in the modified original method

Calcaneus Fractures

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