Does the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes?
Abstract Background The extensile lateral approach (ELA) and sinus tarsi approach (STA) are commonly utilized for surgically treating calcaneal fractures. This study compared the outcomes of ELA and STA in the management of calcaneal fractures and assessed the influence of postoperative quality of r...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06697-z |
| _version_ | 1827900143046754304 |
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| author | Sayyed-Hadi Sayyed-Hosseinian Matin Shirazinia Hamid Arabi Monavar Afzal Aghaee Ehsan Vahedi Farshid Bagheri |
| author_facet | Sayyed-Hadi Sayyed-Hosseinian Matin Shirazinia Hamid Arabi Monavar Afzal Aghaee Ehsan Vahedi Farshid Bagheri |
| author_sort | Sayyed-Hadi Sayyed-Hosseinian |
| collection | DOAJ |
| description | Abstract Background The extensile lateral approach (ELA) and sinus tarsi approach (STA) are commonly utilized for surgically treating calcaneal fractures. This study compared the outcomes of ELA and STA in the management of calcaneal fractures and assessed the influence of postoperative quality of reduction on functional and pain scores. Methods The study included 68 adults with Sanders type-II and type-III calcaneal fractures who underwent either ELA or STA surgery. Pre- and postoperative radiographs and computed tomography scans were analyzed, and functional and pain scores were evaluated using the Manchester Oxford Foot Questionnaire (MOXFQ), American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, and Visual Analogue Score (VAS) during follow-up visits. Results Out of the total patients, 50 underwent ELA surgery while 18 underwent STA surgery. The anatomic (excellent) reduction was achieved in 33 (48.5%) patients. There were no significant differences between the ELA and STA groups concerning functional scores, pain scores, the proportion of excellent reduction, and complications. Additionally, anatomic reduction, compared to near or non-anatomic (good, fair, or poor) reduction, demonstrated a decrease in MOXFQ (unstandardized β coefficient: -13.83, 95% CI: -25.47 to -2.19, p = 0.021), an increase in AOFAS (unstandardized β coefficient: 8.35, 95% CI: 0.31 to 16.38, p = 0.042), and a reduction in VAS pain (unstandardized β coefficient: -0.89, 95% CI: -1.93 to -0.16, p = 0.095) scores. Conclusion In conclusion, we found no significant differences regarding complications, excellent reduction, and functional scores between STA and ELA surgeries. Therefore, STA may be an effective alternative for the treatment of calcaneal fractures in Sanders type II and type III calcaneal fractures. Furthermore, the anatomic reduction of the posterior facet correlated with improved functional scores, emphasizing the importance of achieving it for restoring foot function regardless of surgery type or time between injury and surgery. |
| first_indexed | 2024-03-12T23:27:01Z |
| format | Article |
| id | doaj.art-46b0327b9fbd411ab3768589ec4b5c1b |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-12T23:27:01Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-46b0327b9fbd411ab3768589ec4b5c1b2023-07-16T11:03:41ZengBMCBMC Musculoskeletal Disorders1471-24742023-07-0124111110.1186/s12891-023-06697-zDoes the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes?Sayyed-Hadi Sayyed-Hosseinian0Matin Shirazinia1Hamid Arabi2Monavar Afzal Aghaee3Ehsan Vahedi4Farshid Bagheri5Orthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical SciencesOrthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical SciencesOrthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical SciencesSocial Determinants of Health Research Center, Mashhad University of Medical SciencesOrthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical SciencesOrthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical SciencesAbstract Background The extensile lateral approach (ELA) and sinus tarsi approach (STA) are commonly utilized for surgically treating calcaneal fractures. This study compared the outcomes of ELA and STA in the management of calcaneal fractures and assessed the influence of postoperative quality of reduction on functional and pain scores. Methods The study included 68 adults with Sanders type-II and type-III calcaneal fractures who underwent either ELA or STA surgery. Pre- and postoperative radiographs and computed tomography scans were analyzed, and functional and pain scores were evaluated using the Manchester Oxford Foot Questionnaire (MOXFQ), American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, and Visual Analogue Score (VAS) during follow-up visits. Results Out of the total patients, 50 underwent ELA surgery while 18 underwent STA surgery. The anatomic (excellent) reduction was achieved in 33 (48.5%) patients. There were no significant differences between the ELA and STA groups concerning functional scores, pain scores, the proportion of excellent reduction, and complications. Additionally, anatomic reduction, compared to near or non-anatomic (good, fair, or poor) reduction, demonstrated a decrease in MOXFQ (unstandardized β coefficient: -13.83, 95% CI: -25.47 to -2.19, p = 0.021), an increase in AOFAS (unstandardized β coefficient: 8.35, 95% CI: 0.31 to 16.38, p = 0.042), and a reduction in VAS pain (unstandardized β coefficient: -0.89, 95% CI: -1.93 to -0.16, p = 0.095) scores. Conclusion In conclusion, we found no significant differences regarding complications, excellent reduction, and functional scores between STA and ELA surgeries. Therefore, STA may be an effective alternative for the treatment of calcaneal fractures in Sanders type II and type III calcaneal fractures. Furthermore, the anatomic reduction of the posterior facet correlated with improved functional scores, emphasizing the importance of achieving it for restoring foot function regardless of surgery type or time between injury and surgery.https://doi.org/10.1186/s12891-023-06697-zCalcaneal fracturesSinus tarsi approachExtensile lateral approachAnatomic reduction |
| spellingShingle | Sayyed-Hadi Sayyed-Hosseinian Matin Shirazinia Hamid Arabi Monavar Afzal Aghaee Ehsan Vahedi Farshid Bagheri Does the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes? BMC Musculoskeletal Disorders Calcaneal fractures Sinus tarsi approach Extensile lateral approach Anatomic reduction |
| title | Does the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes? |
| title_full | Does the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes? |
| title_fullStr | Does the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes? |
| title_full_unstemmed | Does the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes? |
| title_short | Does the postoperative quality of reduction, regardless of the surgical method used in treating a calcaneal fracture, influence patients’ functional outcomes? |
| title_sort | does the postoperative quality of reduction regardless of the surgical method used in treating a calcaneal fracture influence patients functional outcomes |
| topic | Calcaneal fractures Sinus tarsi approach Extensile lateral approach Anatomic reduction |
| url | https://doi.org/10.1186/s12891-023-06697-z |
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