Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study

Thomas M. Seaver; Zachary Zeller; Paul Tornetta; Andrew J. Marcantonio; Alexander J. Ment; Hassan R. Mir; Meghan McCaskey; Mitchell K. Messner; Clay A. Spitler; Erin L. Hofer; Anna N. Miller; Jerald Westberg; Jessica M. Downes; Noah Joseph; Heather A. Vallier; Yu Min Suh; Robert F. Ostrum; Benjamin Ollivere; Adeel Ikram; Brian Mullis; Jorge Figueras; Darin M. Friess; Emelia Sodders; Noelle L. Van Rysselberghe; Michael J. Gardner; Amanda Pawlak; Stephen Kottmeier; Saam Morshed; Zachary Lim; Aden Malik; Lawrence H. Goodnough; Eli W. Bunzel; Reza Firoozabadi; Patrick Yoon; Todd Pottinger; Pierce Johnson; Kalyan Chaliki

Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study

Thomas M. Seaver
, Zachary Zeller
, Paul Tornetta
, Andrew J. Marcantonio
, Alexander J. Ment
, Hassan R. Mir
, Meghan McCaskey
, Mitchell K. Messner
, Clay A. Spitler
, Erin L. Hofer
, Anna N. Miller
, Jerald Westberg
, Jessica M. Downes
, Noah Joseph
, Heather A. Vallier
, Yu Min Suh
, Robert F. Ostrum
, Benjamin Ollivere
, Adeel Ikram
, Brian Mullis

Jorge Figueras, Darin M. Friess, Emelia Sodders, Noelle L. Van Rysselberghe, Michael J. Gardner, Amanda Pawlak, Stephen Kottmeier, Saam Morshed, Zachary Lim, Aden Malik, Lawrence H. Goodnough, Eli W. Bunzel, Reza Firoozabadi, Patrick Yoon, Todd Pottinger, Pierce Johnson, Kalyan Chaliki

Orthopaedics

Boston University

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

INTRODUCTION: The optimal surgical approach for intraarticular calcaneal fractures remains debated. This study compares deep infection rates between the extended lateral (EL) and sinus tarsi (ST) approaches. METHODS: A retrospective review was conducted of 782 patients treated surgically for OTA 82B/C calcaneal fractures across 15 institutions. Deep infection was defined as requiring surgical débridement or treatment for osteomyelitis. Risk factors were identified using univariate and multivariate analyses. RESULTS: Of 782 fractures, 444 were treated with EL and 338 with ST. Deep infections occurred in 6.8% of EL and 3.0% of ST cases (P = 0.017). Multivariate analysis found that surgical approach (P = 0.03) and age (P < 0.001) were independent risk factors. EL had more wound complications; ST had more symptomatic implants. CONCLUSION: The ST approach was associated with lower rates of deep infection and wound complications, even in higher-risk patients.

Original language	English
Journal	Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume	9
Issue number	11
State	Published - Nov 1 2025

Cite this

Seaver, T. M., Zeller, Z., Tornetta, P., Marcantonio, A. J., Ment, A. J., Mir, H. R., McCaskey, M., Messner, M. K., Spitler, C. A., Hofer, E. L., Miller, A. N., Westberg, J., Downes, J. M., Joseph, N., Vallier, H. A., Suh, Y. M., Ostrum, R. F., Ollivere, B., Ikram, A., ... Chaliki, K. (2025). Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study. Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews, 9(11).

@article{158cc0eb25f54187b590dbc1ac6e529b,

title = "Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study",

abstract = "INTRODUCTION: The optimal surgical approach for intraarticular calcaneal fractures remains debated. This study compares deep infection rates between the extended lateral (EL) and sinus tarsi (ST) approaches. METHODS: A retrospective review was conducted of 782 patients treated surgically for OTA 82B/C calcaneal fractures across 15 institutions. Deep infection was defined as requiring surgical d{\'e}bridement or treatment for osteomyelitis. Risk factors were identified using univariate and multivariate analyses. RESULTS: Of 782 fractures, 444 were treated with EL and 338 with ST. Deep infections occurred in 6.8\% of EL and 3.0\% of ST cases (P = 0.017). Multivariate analysis found that surgical approach (P = 0.03) and age (P < 0.001) were independent risk factors. EL had more wound complications; ST had more symptomatic implants. CONCLUSION: The ST approach was associated with lower rates of deep infection and wound complications, even in higher-risk patients.",

author = "Seaver, \{Thomas M.\} and Zachary Zeller and Paul Tornetta and Marcantonio, \{Andrew J.\} and Ment, \{Alexander J.\} and Mir, \{Hassan R.\} and Meghan McCaskey and Messner, \{Mitchell K.\} and Spitler, \{Clay A.\} and Hofer, \{Erin L.\} and Miller, \{Anna N.\} and Jerald Westberg and Downes, \{Jessica M.\} and Noah Joseph and Vallier, \{Heather A.\} and Suh, \{Yu Min\} and Ostrum, \{Robert F.\} and Benjamin Ollivere and Adeel Ikram and Brian Mullis and Jorge Figueras and Friess, \{Darin M.\} and Emelia Sodders and \{Van Rysselberghe\}, \{Noelle L.\} and Gardner, \{Michael J.\} and Amanda Pawlak and Stephen Kottmeier and Saam Morshed and Zachary Lim and Aden Malik and Goodnough, \{Lawrence H.\} and Bunzel, \{Eli W.\} and Reza Firoozabadi and Patrick Yoon and Todd Pottinger and Pierce Johnson and Kalyan Chaliki",

note = "Publisher Copyright: Copyright {\textcopyright} 2025 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.",

year = "2025",

month = nov,

day = "1",

language = "English",

volume = "9",

journal = "Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews",

issn = "2474-7661",

number = "11",

}

Seaver, TM, Zeller, Z, Tornetta, P, Marcantonio, AJ, Ment, AJ, Mir, HR, McCaskey, M, Messner, MK, Spitler, CA, Hofer, EL, Miller, AN, Westberg, J, Downes, JM, Joseph, N, Vallier, HA, Suh, YM, Ostrum, RF, Ollivere, B, Ikram, A, Mullis, B, Figueras, J, Friess, DM, Sodders, E, Van Rysselberghe, NL, Gardner, MJ, Pawlak, A, Kottmeier, S, Morshed, S, Lim, Z, Malik, A, Goodnough, LH, Bunzel, EW, Firoozabadi, R, Yoon, P, Pottinger, T, Johnson, P & Chaliki, K 2025, 'Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study', Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews, vol. 9, no. 11.

TY - JOUR

T1 - Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study

AU - Seaver, Thomas M.

AU - Zeller, Zachary

AU - Tornetta, Paul

AU - Marcantonio, Andrew J.

AU - Ment, Alexander J.

AU - Mir, Hassan R.

AU - McCaskey, Meghan

AU - Messner, Mitchell K.

AU - Spitler, Clay A.

AU - Hofer, Erin L.

AU - Miller, Anna N.

AU - Westberg, Jerald

AU - Downes, Jessica M.

AU - Joseph, Noah

AU - Vallier, Heather A.

AU - Suh, Yu Min

AU - Ostrum, Robert F.

AU - Ollivere, Benjamin

AU - Ikram, Adeel

AU - Mullis, Brian

AU - Figueras, Jorge

AU - Friess, Darin M.

AU - Sodders, Emelia

AU - Van Rysselberghe, Noelle L.

AU - Gardner, Michael J.

AU - Pawlak, Amanda

AU - Kottmeier, Stephen

AU - Morshed, Saam

AU - Lim, Zachary

AU - Malik, Aden

AU - Goodnough, Lawrence H.

AU - Bunzel, Eli W.

AU - Firoozabadi, Reza

AU - Yoon, Patrick

AU - Pottinger, Todd

AU - Johnson, Pierce

AU - Chaliki, Kalyan

PY - 2025/11/1

Y1 - 2025/11/1

N2 - INTRODUCTION: The optimal surgical approach for intraarticular calcaneal fractures remains debated. This study compares deep infection rates between the extended lateral (EL) and sinus tarsi (ST) approaches. METHODS: A retrospective review was conducted of 782 patients treated surgically for OTA 82B/C calcaneal fractures across 15 institutions. Deep infection was defined as requiring surgical débridement or treatment for osteomyelitis. Risk factors were identified using univariate and multivariate analyses. RESULTS: Of 782 fractures, 444 were treated with EL and 338 with ST. Deep infections occurred in 6.8% of EL and 3.0% of ST cases (P = 0.017). Multivariate analysis found that surgical approach (P = 0.03) and age (P < 0.001) were independent risk factors. EL had more wound complications; ST had more symptomatic implants. CONCLUSION: The ST approach was associated with lower rates of deep infection and wound complications, even in higher-risk patients.

AB - INTRODUCTION: The optimal surgical approach for intraarticular calcaneal fractures remains debated. This study compares deep infection rates between the extended lateral (EL) and sinus tarsi (ST) approaches. METHODS: A retrospective review was conducted of 782 patients treated surgically for OTA 82B/C calcaneal fractures across 15 institutions. Deep infection was defined as requiring surgical débridement or treatment for osteomyelitis. Risk factors were identified using univariate and multivariate analyses. RESULTS: Of 782 fractures, 444 were treated with EL and 338 with ST. Deep infections occurred in 6.8% of EL and 3.0% of ST cases (P = 0.017). Multivariate analysis found that surgical approach (P = 0.03) and age (P < 0.001) were independent risk factors. EL had more wound complications; ST had more symptomatic implants. CONCLUSION: The ST approach was associated with lower rates of deep infection and wound complications, even in higher-risk patients.

UR - https://www.scopus.com/pages/publications/105020894107

M3 - Article

C2 - 41187294

AN - SCOPUS:105020894107

SN - 2474-7661

VL - 9

JO - Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews

JF - Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews

IS - 11

ER -

Sinus Tarsi Versus Extensile Lateral Approach For Calcaneal Fractures - A Multicenter Study

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