title: Limited sinus tarsi approach for intra-articular calcaneus fractures.
abstract: BACKGROUND
  Operative treatment of calcaneal fractures has a historically high rate of wound complications, so the most optimal operative approach has been a topic of investigation. This study reviews the radiographic and clinical outcomes of the use of the sinus tarsi approach for operative fixation of these fractures with attention to the rate of infection and restoration of angular measurements.
  
  
  METHODS
  The radiographs and charts of 20 patients with 22 calcaneal fractures were reviewed to assess for restoration of angular and linear dimensions of the calcaneus as well as time to radiographic union. Secondary outcome measures included the rate of postoperative infection, osteomyelitis, revision surgeries, and nonunion.
  
  
  RESULTS
  We found a statistically significant restoration of Böhler's angle and calcaneal width. Three of the 22 cases had a superficial wound infection. One patient had revision surgery for symptomatic hardware removal. There were no events of osteomyelitis, deep infection, malunion, or nonunion.
  
  
  CONCLUSIONS
  We found that the sinus tarsi approach yielded similar outcomes to those reported in the literature.
  
  
  METHODS
  Level IV, retrospective case series.
authors.affiliation: University of Southern California, Los Angeles, CA, USA.
authors.forename: Christian
authors.initials: C
authors.lastname: Kikuchi
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Charlton
authors.forename: David B
authors.initials: DB
authors.lastname: Thordarson
mesh_terms: D000328:Adult; D001174:Arthrodesis; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013380:Subtalar Joint / Q000601:surgery; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000517:prevention & control; D014057:Tomography, X-Ray Computed
keywords: calcaneus fracture; minimally invasive; sinus tarsi approach