PMID- 34253433 OWN - NLM STAT- MEDLINE DCOM- 20220111 LR - 20220111 IS - 1542-2224 (Electronic) IS - 1067-2516 (Linking) VI - 61 IP - 1 DP - 2022 Jan-Feb TI - Percutaneous Prodding Reduction and K-Wire Fixation Via Sinus Tarsi Approach Versus ORIF for Sanders Type III Calcaneal Fractures: A Prospective Case-Controlled Trial. PG - 37-42 LID - S1067-2516(21)00209-X [pii] LID - 10.1053/j.jfas.2021.06.005 [doi] AB - We conducted a prospective randomized controlled trial to compare the radiological and clinical outcomes of Sanders type III calcaneal fractures treated with percutaneous prodding reduction and K-wire fixation via a sinus tarsi approach (PPRKF) versus open reduction and internal fixation (ORIF). Fifty-one patients with closed, unilateral, Sanders type III calcaneal fractures were randomly assigned to the PPRKF group (n = 26) or the ORIF group (n = 25). The clinical outcomes evaluated were time to surgery, blood loss, operative time, hospital stay, wound healing time, wound complications, and Maryland foot score. Radiological results were evaluated on lateral and axial X-rays and computed tomography images and included Bohler's angle, Gissane's angle, and calcaneal width. Compared with the ORIF group, the PPRKF group had shorter time to surgery, shorter operative time, less blood loss, shorter hospital stay, shorter wound healing time, and fewer wound complications (p < .001). The postoperative Bohler's angle, Gissane's angle, and calcaneal width in both groups were significantly better than those measured preoperatively (p < .001) and did not differ between the PPRKF group and ORIF group (p> .05). Regarding clinical results, there was no significant difference in Maryland foot score between the two groups at 12 months after surgery (p > .05). Both PPRKF and ORIF can result in satisfactory clinical function. PPRKF is superior to ORIF in reducing the time to surgery, operative time, blood loss, hospital stay, wound healing time, and wound complications. CI - Copyright (c) 2021 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Dai, Feng AU - Dai F AD - Department of Orthopedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou, Jiangsu Province, China. FAU - Xu, Yao Feng AU - Xu YF AD - Department of Orthopedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou, Jiangsu Province, China. FAU - Yu, Zhen Han AU - Yu ZH AD - Department of Orthopedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou, Jiangsu Province, China. FAU - Liu, Jin Tao AU - Liu JT AD - Department of Orthopedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou, Jiangsu Province, China. FAU - Zhang, Zhi Gang AU - Zhang ZG AD - Department of Orthopedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou, Jiangsu Province, China. Electronic address: 15850531317@163.com. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20210618 PL - United States TA - J Foot Ankle Surg JT - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JID - 9308427 SB - IM MH - *Calcaneus/diagnostic imaging/surgery MH - Fracture Fixation, Internal MH - *Fractures, Bone/diagnostic imaging/surgery MH - Heel MH - Humans MH - *Intra-Articular Fractures MH - Open Fracture Reduction MH - Treatment Outcome OTO - NOTNLM OT - K-wire fixation OT - calcaneal fractures OT - prodding reduction OT - randomized controlled trial OT - sinus tarsi approach EDAT- 2021/07/14 06:00 MHDA- 2022/01/12 06:00 CRDT- 2021/07/13 05:44 PHST- 2021/02/25 00:00 [received] PHST- 2021/04/15 00:00 [revised] PHST- 2021/06/10 00:00 [accepted] PHST- 2021/07/14 06:00 [pubmed] PHST- 2022/01/12 06:00 [medline] PHST- 2021/07/13 05:44 [entrez] AID - S1067-2516(21)00209-X [pii] AID - 10.1053/j.jfas.2021.06.005 [doi] PST - ppublish SO - J Foot Ankle Surg. 2022 Jan-Feb;61(1):37-42. doi: 10.1053/j.jfas.2021.06.005. Epub 2021 Jun 18.