Sinus Tarsi Approach for Calcaneal Fractures: The New Gold Standard?

Displaced intra-articular calcaneal fractures are among the most difficult articular fractures to treat, with a high rate of potential complications. Is important to restore calcaneus posterior facet anatomy as well as calcaneus width, length, and height. The extensile lateral approach provides excellent fracture visualization and allows reduction of the displaced fracture fragments, but high complication rate has been described with this approach, so many studies favor the sinus tarsi approach.

Large variation in management of talar osteochondral lesions among foot and ankle surgeons: results from an international survey.

Purpose: Surgeons management of osteochondral lesions of the talus (OLT) may be different to the published guidelines because not all treatment recommendations are feasible in every country. This study aimed to assess how OLT are managed worldwide by foot and ankle surgeons.

Methods: A web-based survey was distributed to the members of 21 local and international scientific societies focused on foot and ankle or sports medicine surgery.

Tendoscopy in stage I posterior tibial tendon dysfunction.

Stage I PTTD was defined by Johnson and Strom as tenosynovitis or tendinitis whereby tendon length remains normal, there is no hindfoot deformity, and diagnosis is basically clinical, characterized by swelling and tenderness posterior to the medial malleolus. The PTT has a hypovascular zone 40 mm proximal to the insertion of the tendon and 14 mm in length. Pain often is localized to this portion of the tendon.

Fixation of calcaneal avulsion fractures using screws with and without suture anchors: a biomechanical investigation.

Background: Lag screw fixation commonly is used to treat avulsion fractures of the posterior calcaneal tuberosity, but this method may not offer reliable fixation. This study compared the strength to failure of lag screws compared to lag screw fixation augmented with suture anchors in these fractures.

Methods: The calcanei and Achilles tendons of 12 fresh lower extremity cadaver matched pairs were dissected and removed.