Evidence map›Paper›PMID 21336854›Full record

SynthesisInternational orthopaedics2011

The sinus tarsi approach in displaced intra-articular calcaneal fractures: a systematic review.

Tim Schepers

Abstract readSystematic Review
In one paragraph

Synthesis in International orthopaedics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. In Vitro Experimental Study of BiofiligreeBioengineering (Basel, Switzerland) · 2026
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  11. [Current Concepts in Intra-articular Calcaneus Fractures].Revista brasileira de ortopedia · 2025
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  12. Current Concepts in Intra-articular Calcaneus Fractures.Revista brasileira de ortopedia · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Tim SchepersDepartment of Surgery-Traumatology, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands. t.schepers@erasmusmc.nl

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough open reduction and internal fixation is currently considered the gold standard in surgical treatment of displaced intra-articular calcaneal fractures, various different approaches exist including the limited lateral approach. The aim of this systematic review was to combine the results of studies using the sinus tarsi approach, which is the most frequently applied limited lateral approach.

methodA literature search in the electronic databases of the Cochrane Library and Pubmed Medline, between January 1st 2000 to December 1st 2010, was conducted to identify studies in which the sinus tarsi approach or a modified sinus tarsi approach was utilized for the treatment of displaced intra-articular calcaneal fractures. The methodological quality of the included studies was assessed using the Coleman methodology score.

resultsA total of eight case series reporting on 256 patients with 271 calcaneal fractures was identified. Overall good to excellent outcome was reached in three-quarters of all patients. An average complication rate of minor wound complications of 4.1% was reported and major wound complications in 0.7%. The need for a secondary subtalar arthrodesis occurred at an average rate of 4.3%. The average Coleman methodology score was 56.8 (range 39-72) points.

conclusionThe results, i.e. functional outcome and complication rates, of the sinus tarsi approach compare similarly or favourably to the extended lateral approach. Therefore, in the process of tailoring the best treatment modality to the right patient and the right fracture type, the sinus tarsi approach might be a valuable asset.

Indexed as

ArthrodesisBone MalalignmentCalcaneusFracture Fixation, InternalFractures, BoneHumansPostoperative ComplicationsRadiographyRecovery of FunctionReoperationTarsal BonesTreatment Outcome

Identifiers

PMID21336854
PMCPMC3080500

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.