BACKGROUND: The optimal management of displaced @entity7334 remains a topic of debate among @entity130 surgeons. The purpose of this study was to assess the safety of the sinus tarsi approach in regard to the incidence of @entity281 and amputation following open reduction and internal fixation @entity7334 . METHODS: We conducted a retrospective chart review of all @entity1 with displaced intra-articular @entity8546 @entity174 treated with internal fixation through the sinus tarsi approach in a five year period. All surgeries were performed in a single level one @entity130 center by a single orthopedic @entity130 fellowship trained surgeon. RESULTS: Seventeen @entity1 with an average age of 36.6        13.6  years (range 12-61 years) met the inclusion criteria. The time between injury and surgery was on average 6.1  days (range 1-22 days). Average follow up was 116        78.2  days (range 3-276 days). Two @entity1 (11.7%) had @entity6 . None of the @entity1 required amputation. Three @entity1 (17.6%) developed @entity281 and underwent subsequent formal irrigation and debridement, two of these requiring multiple repeat surgeries in addition to hardware removals. Negative pressure wound therapy and long term antibiotics via peripherally inserted central catheter (PICC) were necessary in these three @entity1 with wound @entity281 . CONCLUSION: The sinus tarsi approach for intra fixation @entity7334 is safe as compared to the traditional extensile approach in regard to flap @entity39 and amputation. However, the rate of @entity281 was higher than previously described in the literature.

High incidence of @entity281 after 'sinus tarsi' approach for treatment of XXXX of the @entity8546 : a 5  year experience in an academic level one @entity130 center.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity8546 :: ('MESH:C566069', 'Disease') :: ['calcaneus'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections', 'deep infection'] @entity7334 :: ('MESH:D057072', 'Disease') :: ['intra-articular calcaneal fractures'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity7334 :: (MESH:D057072,Disease) :: ['intra-articular fractures']
