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Abstract：
The aim of this study was to compare the radiological and functional outcomes of the extended lateral and sinus tarsi approaches for managing displaced intraarticular calcaneal fractures. This retrospective study involved 44 patients with displaced intra-articular calcaneal fractures. The patients were treated with either the extended lateral or sinus tarsi approach and followed up for at least a year. The radiological and clinical outcomes were compared between the approaches. The waiting time for surgery was shorter and the complication rate was lower in the sinus tarsi approach group than in the other group. There were no significant differences in the American Orthopedic Foot and Ankle Society ankle-hindfoot score, Foot Function Index, or visual analog scale score between the groups. In both groups, the radiological outcomes (Böhler angle, calcaneal width, and calcaneal height) were better postoperatively than preoperatively. The sinus tarsi approach is a safe and effective alternative to the extended lateral approach for managing displaced intraarticular calcaneal fractures. It is associated with a lower complication rate and a shorter waiting time for surgery than the extended lateral approach, with similar functional and radiological outcomes.
摘要：
这项研究的目的是比较扩展的外侧和窦入路治疗移位的跟骨关节内骨折的放射学和功能结果。这项回顾性研究涉及44例移位的跟骨关节内骨折患者。患者接受了扩展的外侧或窦入路治疗，并随访了至少一年。比较了两种方法之间的放射学和临床结果。与其他组相比，arsi窦入路组的手术等待时间更短，并发症发生率更低。美国骨科足踝协会踝足-后足评分没有显着差异，脚功能索引，或组间视觉模拟量表评分。在这两组中,放射学结果(伯勒角，跟骨宽度,跟骨高度）术后优于术前。对于治疗移位的跟骨关节内骨折，tarsi窦入路是一种安全有效的替代方法。与延长的外侧入路相比，它具有更低的并发症发生率和更短的手术等待时间。具有相似的功能和放射学结果。
