Efficacy of calcium phosphate cementing in the surgical treatment of Sanders Type II and III calcaneal fractures using screw fixation with sinus tarsi approach
Objective: This study aimed to determine the effectiveness of calcium phosphate cementing in the surgical treatment of Sanders type IIand III calcaneal fractures using screw fixation with sinus tarsi approach.Methods: In this retrospective study, 85 feet of 84 patients (74 males, 10 females; mean age 43 [17-61] years) in whom screw fixation was performed using the sinus tarsi approach for Sanders type II or III calcaneal fractures were included. The mean follow-up was 28 (14-39) months.Patients were categorized into 2 groups on the basis of whether calcium phosphate cement (CPC) was used. Group 1 had 37 patients withCPC (38 calcaneal fractures) and group 2 had 47 patients without CPC (47 calcaneal fractures). In the clinical assessment, the American Orthopedic Foot Ankle Society (AOFAS) hind foot score and the Maryland Foot Score (MFS) were used at the final follow-up. In the radiologicalassessment, Bohler’s angle on plain radiograph and posterior facet step-off on computed tomography were measured pre-and postoperatively.Results: At the final follow-up, the mean Bohler’s angle was 26.2° (20°-33°) in group 1 and 26° (17°-30°) in group 2 (P = 0.85). The meanposterior facet step-off was 1.6 (0-5) mm in group 1 and 1.5 (0-5) mm in group 2 (P = 0.85). The mean AOFAS score was 83.8 (59-100) ingroup 1 and 85.8 (60-100) in group 2 (P = 0.5). The mean MFS was 86.3 (66-100) in group 1 and 87.7 (66-100) in group 2 (P = 0.62).Conclusion: Evidence from this study have shown that CPC may have no significant effect on clinical and radiological outcomes in thesurgical treatment of Sanders type II and III calcaneal fractures using screw fixation with sinus tarsi approach.Level of Evidence: Level IV, Therapeutic Study
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1. Kir MC, Ayanoglu S, Cabuk H, et al. Mini-plate fixation via sinus tarsi approach is superior to cannulated screw in intra-articular calcaneal fractures: A prospective randomized study. J Orthop Surg (Hong Kong). 2018;26(3):2309499018792742.2. Kikuchi C, Charlton TP, Thordarson DB. Limited sinus tarsi approach for intra-articular calcaneus fractures. Foot Ankle Int. 2013;34(12):1689-1694. 10.1177/1071100713510267.
3. Spagnolo R, Bonalumi M, Pace F, Capitani D. Calcaneus fractures, results of the sinus tarsi approach: 4 years of experience. Eur J Orthop Surg Traumatol. 2010;20:37-42. 10.1007/s00590-009-0482-2.
4. Veltman ES, Doornberg JN, Stufkens SA, Luitse JS, van den Bekerom MP. Longterm outcomes of 1,730 calcaneal fractures: systematic review of the literature. J Foot Ankle Surg. 2013;52(4):486-490. 10.1053/j.jfas.2013.04.002.
5. Schepers T. The sinus tarsi approach in displaced intra-articular calcaneal fractures: a systematic review. Int Orthop. 2011;35(5):697-703. 10.1007/s00264-011- 1223-9.
6. Razik A, Harris M, Trompeter A. Calcaneal fractures: Where are we now? Strategies Trauma Limb Reconstr. 2018;13(1):1-11. 10.1007/s11751-017-0297-3.
7. KayalI C, Altay T, Kement Z, Çıtak C, Yağdı S. The effect of early weight-bearing on comminuted calcaneal fractures treated with locking plates. Eklem Hastalik Cerrahisi. 2014;25(2):85-90. 10.5606/ehc.2014.19.
8. Wang Z, Wang XH, Li SL, et al. Minimally invasive (sinus tarsi) approach for calcaneal fractures. J Orthop Surg Res. 2016;11(1):164. 10.1186/s13018-016- 0497-4.
9. Femino JE, Vaseenon T, Levin DA, Yian EH. Modification of the sinus tarsi approach for open reduction and plate fixation of intra-articular calcaneus fractures: the limits of proximal extension based upon the vascular anatomy of the lateral calcaneal artery. Iowa Orthop J. 2010; 30:161-167.
10. Burdeaux BD. The medial approach for calcaneal fractures. Clin Orthop Relat Res. 1993;(290):96-107.
11. Park IH, Song KW, Shin SI, Lee JY, Kim TG, Park RS. Displaced intra-articular calcaneal fracture treated surgically with limited posterior incision. Foot Ankle Int. 2000;21(3):195-205. 10.1177/107110070002100303.
12. Stephenson JR. Surgical treatment of displaced intraarticular fractures of the calcaneus: a combined lateral and medial approach. Clin Orthop Relat Res. 1993;290:68-75. 10.1097/00003086-199305000-00010.
13. DeWall M, Henderson CE, McKinley TO, Phelps T, Dolan L, Marsh JL. Percutaneous reduction and fixation of displaced intra-articular calcaneus fractures. J Orthop Trauma. 2010; 24(8):466-476. 10.1097/BOT.0b013e3181defd74.
14. Smith WB. The sinus tarsi approach for calcaneal fractures. Techniques in Foot & Ankle Surgery. 2013;12(3):118-124. 10.1097/BTF.0b013e31829ffe13.
15. Wee J, Thevendran G. The role of orthobiologics in foot and ankle surgery: allogenic bone grafts and bone graft substitutes. EFORT Open Rev. 2017;2(6):272- 280. 10.1302/2058-5241.2.160044.
16. Duymus TM, Mutlu S, Mutlu H, Ozel O, Guler O, Mahirogullari M. Need for bone grafts in the surgical treatment of displaced intra-articular calcaneal fractures. J Foot Ankle Surg. 2017;56(1):54-58. 10.1053/j.jfas.2016.08.004.
17. Jiang SD, Jiang LS, Dai LY. Surgical treatment of calcaneal fractures with use of beta-tricalcium phosphate ceramic grafting. Foot Ankle Int. 2008;29(10):1015- 1019.
18. Sonmez MM, Armagan R, Ugurlar M, Eren T. Allografts versus Equine Xenografts in Calcaneal Fracture Repair. J Foot Ankle Surg. 2017;56(3):510-513. 10.1053/j.jfas.2017.01.015.
19. Uygur F, Ulkür E, Pehlivan O, Celiköz B. Soft tissue necrosis following using calcium phosphate cement in calcaneal bone cyst: case report. Arch Orthop Trauma Surg. 2008;128(12): 1397-1401. 10.1007/s00402-007-0534-1.
20. Rammelt S, Sangeorzan BJ, Swords MP. Calcaneal fractures - should we or should we not operate? Indian J Orthop. 2018;52(3):220-230. 10.4103/ortho. IJOrtho_555_17.
21. Andermahr J, Helling HJ, Rehm KE, Koebke Z. The vascularization of the oscalcaneum and the clinical consequences. Clin Orthop Relat Res. 1999;363:212- 218.
22. Basile A, Albo F, Via AG. Comparison between sinus tarsi approach and extensile lateral approach for treatment of closed displaced intra-articular calcaneal fractures: a multicenter prospective study. J Foot Ankle Surg. 2016;55(3):513- 521.
23. Yoon YC, Oh JK, Oh CW, Sahu D, Hwang JH, Cho JW. Inside out rafting K-wire technique for tibial plateau fractures. Arch Orthop Trauma Surg. 2012;132(2):233-237. 10.1007/s00402-011-1409-z.
- ISSN: 1017-995X
- Başlangıç: 2015
- Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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