ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022
Plate fixation through the lateral extensile approach versus cannulated screw fixation through the sinus tarsi approach for calcaneal fracture: a multicenter, propensity score-matched TRON study.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.
- Clinical application of robot-assisted fixation for calcaneal fractures: a meta-analysis with subgroup comparisons.Journal of robotic surgery · 2026Pooled it
- The role of early weight bearing in the aftertreatment of unilateral displaced intraarticular calcaneal fractures: a systematic review and pooled analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Pooled it
- Extensible lateral approach versus sinus tarsi approach for sanders type II and III calcaneal fractures osteosynthesis: a randomized controlled trial of 186 fractures.Journal of orthopaedic surgery and research · 2025Trial
- A Modified Design External Fixator System for Calcaneal Fractures: Surgical Technique and an Observational Single-Center Study.Journal of clinical medicine · 2026Article
- TiRobot-assisted cannulated screw fixation for calcaneal fractures: a meta-analysis of surgical trauma, anatomical restoration, and functional recovery.Frontiers in surgery · 2026Article
- Biomechanical comparison of minimally invasive fixation for sanders II calcaneal fractures: a multi-position finite element study from rigid internal fixation to elastic kirschner wire configuration.Frontiers in bioengineering and biotechnology · 2026Article
- Article
- PATIENT-REPORTED OUTCOMES AFTER PERMISSIVE WEIGHT BEARING IN SURGICALLY TREATED TRAUMA PATIENTS WITH DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES: A MULTICENTRE, RETROSPECTIVE COHORT STUDY.Journal of rehabilitation medicine. Clinical communications · 2025Article
- Calcaneous interlocking nail treatment for calcaneous fracture: a multiple center retrospective study.BMC musculoskeletal disorders · 2022Article
- Analysis of Calcaneal Avulsion Fractures Treated Surgically and Nonsurgically: A Retrospective Multicenter Study.JB & JS open accessArticle
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFor calcaneal fracture, plate fixation through lateral extensive approach (LEP) is the most common procedure performed to achieve anatomic reduction. However, wound complications sometimes occur after LEP. To reduce complications, minimally invasive operative methods with cannulated screw fixation through sinus tarsi approach (STS) were developed. The aim of this multicenter propensity-matched study was to compare the clinical and radiographic outcomes of LEP to those of STS for calcaneal fracture and to evaluate the incidence of postoperative complications including surgical site infection (SSI).
methodsWe extracted 271 patients with calcaneal fracture undergoing surgery between January 2014 and March 2019 from our multicenter TRON database. We assessed the American Orthopedic Foot and Ankle Society (AOFAS) score at the final follow-up as the clinical outcome. We obtained the Bohler and Preis angles as radiographic parameters and also recorded the complications. We divided the subjects into two groups: LEP group and STS group. To adjust for baseline differences between the groups, a propensity score matching algorithm was used in a 1:1 ratio.
resultsAfter matching, there were 32 fractures in each group. There was no significant difference between the LEP versus STS group in AOFAS score at final follow-up (90 vs 90 points, p = 0.98) and in the Bohler and Pries angles (19.2 vs. 18.0 degrees, p = 0.74 and 16.0 vs. 17.5 degrees, p = 0.47). The rate of SSI in the LEP group was higher than that in the STS group (21.9% vs. 0.0%, p = 0.01).
conclusionFor calcaneal fracture, STS provides similar fixation effectiveness and functional outcomes as LEP while reducing the likelihood of infection.
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