Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures

Güzel, Fatih; Türközü, Tülin; ÖZKAN, SEZAİ; güven, necip; Kaya, Sehmuz; Tokyay, Abbas

doi:10.54005/geneltip.1142591

Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures

Necip GÜVEN, (Van Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Van, Türkiye)

Sezai ÖZKAN, (Van Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Van, Türkiye)

Fatih GÜZEL, (Van Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Van, Türkiye)

Tülin TÜRKÖZÜ, (Van Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Van, Türkiye)

Şehmuz KAYA, (Sağlık Bilimleri Üniversitesi Van Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Van, Türkiye)

Abbas TOKYAY (Van Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Van, Türkiye)

Genel Tıp Dergisi

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Yıl: 2022 Cilt: 32 Sayı: 5 Sayfa Aralığı: 534 - 539 Metin Dili: İngilizce DOI: 10.54005/geneltip.1142591 İndeks Tarihi: 09-12-2022

Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures

Öz:

Objective: In this study, we aimed to compare the clinical and radiological results of the extensile lateral (EL) approach and sinus tarsi (ST) approach in calcaneal fracture surgery. Materyal-Metod: A total of 40 patients with Sanders II-III calcaneal fractures, including 22 patients in the EL group and 18 patients in the ST group, were included in this retrospective study. In the radiological evaluation, changes in the calcaneus Bohler and Gissane angle, length, width, and height were measured during the preoperative and postoperative period. Clinically, American Orthopedic Foot and Ankle Society (AOFAS) and the visual analog scale (VAS) were evaluated. In addition, postoperative complications were also evaluated. Results: In terms of demographic data, the results of both groups were similar. Both the length of hospital stay and the time to surgery were shorter in the ST group (p=0.019, p=0.02, respectively). There was no significant difference between the groups regarding radiological, clinical AOFAS and VAS scores. 13.6% superficial infection was seen in the EL group, and no wound problems were encountered in the ST group (p=0.102). The rate of sural nerve injury was 36.4% in the EL group and 5.6% in the ST group (p =0.003). Conclusion: Both approaches clinical and radiological outcomes were similar. However, the advantages of the ST approach were shorter hospital stays, lower rate wound infections, and sural nerve injury problems.

Anahtar Kelime: Calcaneus fracture extensile lateral sinus tarsi minimally invasive

Eklem İçi Kalkaneus Kırıklarında Sinus Tarsi ve Ekstensil Lateral Yaklaşımın Karşılaştırılması

Öz:

Amaç: Bu çalışmada kalkaneus kırığı cerrahisinde ekstansil lateral (EL) yaklaşım ile sinüs tarsi (ST) yaklaşımının klinik ve radyolojik sonuçlarını karşılaştırmayı amaçladık. Gereç ve yöntem: Bu retrospektif çalışmaya, EL grupta 22 hasta ve sinüs tarsi grubunda 18 hasta olmak üzere Sanders II-III kalkaneus kırığı olan toplam 40 hasta dahil edildi. Radyolojik değerlendirmede, preoperative ve postoperative dönemde Bohler ve Gissane açısı, kalkaneusun uzunluğu, genişliği ve yüksekliğindeki değişiklikler ölçüldü. Klinik olarak ise Amerikan Ortopedik Ayak ve Ayak Bileği Derneği (AOFAS) ve görsel analog skalası (VAS) değerlendirildi. Ayrıca postoperative komplikasyonlar da değerlendirildi. Bulgular: Demografik veriler açısından her iki grubun sonuçları benzerdi. ST grubundaki hastaların lateral ekstensil grubuna göre ameliyata alınma ve hastane kalış süresi açısından istatistiksel olarak anlamlı bir şekilde daha kısaydı ( p=0.019, p=0.02, sırasıyla). Gruplar arasında radyolojik, klinik AOFAS ve VAS skorları açısından anlamlı fark bulunmadı. Ekstensile lateral grubunda %13,6 yüzeyel enfeksiyon görüldü ve sinüs tarsi grubunda herhangi bir yara sorununa rastlanmadı (p=0,102). Sural sinir yaralanması extensil lateral grupta 36.4% oranında, sinüs tarsi grubunda ise 5.6% oranında görüldü (p=0.003). Sonuç: Her iki yaklaşımın klinik ve radyolojik sonuçları benzerdi. Ancak hastanede kısa yatış süresi, yara yeri enfeksiyon problemlerinin ve sural sinir yaralanmasının az olması ST yaklaşımının avantajıydı.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	güven n, ÖZKAN S, Güzel F, Türközü T, Kaya S, Tokyay A (2022). Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. , 534 - 539. 10.54005/geneltip.1142591
Chicago	güven necip,ÖZKAN SEZAİ,Güzel Fatih,Türközü Tülin,Kaya Sehmuz,Tokyay Abbas Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. (2022): 534 - 539. 10.54005/geneltip.1142591
MLA	güven necip,ÖZKAN SEZAİ,Güzel Fatih,Türközü Tülin,Kaya Sehmuz,Tokyay Abbas Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. , 2022, ss.534 - 539. 10.54005/geneltip.1142591
AMA	güven n,ÖZKAN S,Güzel F,Türközü T,Kaya S,Tokyay A Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. . 2022; 534 - 539. 10.54005/geneltip.1142591
Vancouver	güven n,ÖZKAN S,Güzel F,Türközü T,Kaya S,Tokyay A Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. . 2022; 534 - 539. 10.54005/geneltip.1142591
IEEE	güven n,ÖZKAN S,Güzel F,Türközü T,Kaya S,Tokyay A "Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures." , ss.534 - 539, 2022. 10.54005/geneltip.1142591
ISNAD	güven, necip vd. "Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures". (2022), 534-539. https://doi.org/10.54005/geneltip.1142591

APA	güven n, ÖZKAN S, Güzel F, Türközü T, Kaya S, Tokyay A (2022). Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. Genel Tıp Dergisi, 32(5), 534 - 539. 10.54005/geneltip.1142591
Chicago	güven necip,ÖZKAN SEZAİ,Güzel Fatih,Türközü Tülin,Kaya Sehmuz,Tokyay Abbas Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. Genel Tıp Dergisi 32, no.5 (2022): 534 - 539. 10.54005/geneltip.1142591
MLA	güven necip,ÖZKAN SEZAİ,Güzel Fatih,Türközü Tülin,Kaya Sehmuz,Tokyay Abbas Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. Genel Tıp Dergisi, vol.32, no.5, 2022, ss.534 - 539. 10.54005/geneltip.1142591
AMA	güven n,ÖZKAN S,Güzel F,Türközü T,Kaya S,Tokyay A Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. Genel Tıp Dergisi. 2022; 32(5): 534 - 539. 10.54005/geneltip.1142591
Vancouver	güven n,ÖZKAN S,Güzel F,Türközü T,Kaya S,Tokyay A Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures. Genel Tıp Dergisi. 2022; 32(5): 534 - 539. 10.54005/geneltip.1142591
IEEE	güven n,ÖZKAN S,Güzel F,Türközü T,Kaya S,Tokyay A "Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures." Genel Tıp Dergisi, 32, ss.534 - 539, 2022. 10.54005/geneltip.1142591
ISNAD	güven, necip vd. "Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-articular Calcaneus Fractures". Genel Tıp Dergisi 32/5 (2022), 534-539. https://doi.org/10.54005/geneltip.1142591