{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T16:23:46Z","timestamp":1793118226599,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T00:00:00Z","timestamp":1576627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the long\u2010term outcomes after percutaneous reduction (PR) and screw fixation versus plate fixation <jats:italic>via<\/jats:italic> the sinus tarsi approach (STA) for displaced intra\u2010articular calcaneal fractures (DIACF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included a total of 150 patients (June 2008\u2013August 2011), comprising 85 men and 65 women (mean age, 38.4\u2009years), who were assigned to the PR group or the STA group. The inclusion criteria were DIACF (&gt;2\u2009mm) including Sanders type II and III, closed fracture, unilateral fracture, no history of smoking or no smoking during hospitalization and 3\u2009months after surgery, and follow\u2010up time not less than 8\u2009years. The exclusion criteria were clear surgical contraindications (severe cardiovascular and cerebrovascular diseases), local or systemic infection symptoms, diagnosis with diabetes or lower extremity vascular disease, and Sanders type IV or open fractures. Outcomes were assessed by means of the American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scores, radiographic images, and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up period was 8.7\u2009years (range, 8.0\u201310.0\u2009years). The AOFAS scores in the PR group during the follow\u2010up period were 54.2 \u00b1\u20095.1, 85.8 \u00b1\u20094.0, 88.1 \u00b1\u20093.8, 87.9 \u00b1\u20093.6, 87.8 \u00b1\u20093.9, 86.9 \u00b1\u20093.9, respectively, and in the STA group were 55.0 \u00b1\u20095.6, 84.5 \u00b1\u20095.2, 87.1 \u00b1\u20093.8, 86.9 \u00b1\u20093.8, 87.7 \u00b1\u20093.3, and 87.6 \u00b1\u20092.8, respectively. There was no significant difference in AOFAS scores, Bohler's angle, Gissane's angle, calcaneal length, and height between the two groups (<jats:italic>P<\/jats:italic> &gt;\u20090.05). The good to excellent rate of the PR group (80.8%) was less than that of the STA group (91.7%) (<jats:italic>P<\/jats:italic> =\u20090.055). For Sanders III fractures, the good to excellent rate of the PR group (33.3%) was less than that of the STA group (76.9%) (<jats:italic>P<\/jats:italic> =\u20090.029). For calcaneal width recovery, the STA group performed better than the PR group (<jats:italic>P<\/jats:italic> &lt;\u20090.05). The incidence of postoperative complications in the PR group (12.8%) was lower than that in the STA group (27.8%) (<jats:italic>P<\/jats:italic> =\u20090.026), of which the incidence of wound complications was 3.8% in the PR group and 13.9% in the STA group (<jats:italic>P<\/jats:italic> =\u20090.041). In addition, there was no significant difference in other postoperative complications such as sural nerve injury, peroneus longus and brevis muscle injury, calcaneal valgus symptoms, lateral impingement symptoms, and subtalar arthritis (<jats:italic>P<\/jats:italic> &gt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>From the 8\u201310\u2010year follow\u2010up results of PR and STA as surgical procedures for the treatment of DIACF, it was found that there was no significant difference in the overall efficacy between them. STA was found to be superior to the PR in terms of the recovery of calcaneal width, providing more stable fixation for Sanders III fractures. PR was found to be more effective in reducing wound complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12597","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T09:07:14Z","timestamp":1576660034000},"page":"124-132","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Comparison between Percutaneous Screw Fixation and Plate Fixation <scp><i>via<\/i><\/scp> Sinus Tarsi Approach for Calcaneal Fractures: An 8\u201310\u2010Year Follow\u2010up Study"],"prefix":"10.1111","volume":"12","author":[{"given":"Qi\u2010hao","family":"Weng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou Zhejiang China"},{"name":"The Second School of Medicine Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gao\u2010le","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou Zhejiang China"},{"name":"The Second School of Medicine Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi\u2010ming","family":"Tu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou Zhejiang China"},{"name":"The Second School of Medicine Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou Zhejiang China"},{"name":"The Second School of Medicine Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinesh","family":"Lutchooman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian\u2010jun","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou Zhejiang China"},{"name":"The Second School of Medicine Wenzhou Medical University  Wenzhou Zhejiang 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