Calcaneus fractures, results of the sinus tarsi approach: 4 years of experience

We present the treatment of displaced intra-articular calcaneal fractures using the sinus tarsi approach to reduce the complications described in literature obtaining good clinical and radiographical results. From January 2002 to December 2006, we have treated 39 displaced intra-articular calcaneal fractures (Sanders type II, III, IV). The patients were operated with open reduction and internal fixation through a limited sinus tarsi approach with cannulated screws. The mean follow-up was of 38 months and the Maryland foot score and the podoscopy were used to analyze the results, with an average of 84 points for type III fractures and 60 for type IV. The reduction of the posterior facet, the subtalar movement and the Bohler and Gissane angle resulted good. We have always performed arthrodesis for type IV fractures. In most part of the cases, we have obtained good functional results with great satisfaction of the patients.