Wound and Sural Nerve Complications of the Sinus Tarsi Approach for Calcaneus Fractures

Foot & Ankle International
Shaoliang Li

Abstract

Background The purpose of this study was to evaluate the optimal timing and measures of the sinus tarsi approach for calcaneus fractures to avoid iatrogenic injury of the sural nerve and to assess for wound complications. A case series of 53 patients with calcaneus fractures treated by a single surgeon with the sinus tarsi approach was retrospectively analyzed. On the basis of the delay time from injury to surgery, patients were classified into 4 groups: immediate (0-3 days), early (4-6 days), intermediate (7-14 days), and late (14-18 days). All patients were followed for at least 1 year to observe wound conditions. The rate of wound complications and iatrogenic sural nerve injury was described. Incisions were classified into 2 groups: group A included patients with incisions extending posterior to the lateral malleolus, and group B included patients with incisions confined anterior to the lateral malleolus. The rates of nerve injury were compared between both groups. Forty-three patients with 52 Sanders type II fractures were included. The average time to surgery from injury was 8.8 days (range, 0-18 days). The overall postoperative rate of wound complications was 5.8% (3 of 52). In the immediate group, deep infections and wou...Continue Reading

References

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Citations

Aug 21, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Yanguk HeoHyung-Sun Won
Jul 17, 2019·Foot & Ankle International·Debbie Y DangChristopher B Hirose
Oct 28, 2020·Archives of Orthopaedic and Trauma Surgery·Sebastian FischerSebastian Manegold
Feb 6, 2021·Foot and Ankle Clinics·Gabriel Khazen, Cesar Khazen Rassi
Aug 5, 2021·Archives of Orthopaedic and Trauma Surgery·Mohd Saiful Mat RodiNoor Mahazrinna Hayadin

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