Introduction: Currently, Open Reduction Internal Fixation (ORIF) through the ExtensileLateral approach is considered the most widely accepted surgical procedure for displacedintra- articular calcaneal fracture. Minimally invasive reduction and fixation techniques viaSinus Tarsi approach (STA) have been developed in attempts to avoid potentialcomplications associated with an extensile lateral approach, The purpose of this study is toevaluate functional and clinical outcome of displaced intra- articular fractures of calcaneum(DIACF) treated by using Extensile Lateral and Sinus Tarsi approaches.Materials and Methods: This study was carried out in GMERS Medical College andGeneral Hospital Gotri Vadodara from August 2020 to May 2022, consisting of total 42patients of intra-articular fractures of calcaneum. This was a comparative prospective study.All the patients were operated by surgeons experienced in both the approaches.Results: Majority were male patients with mean age of 37 years and had history of fall fromheight as mode of injury and had unilateral calcaneum fracture. 90.5% of patients for STapproach were operated within 4 days of admission as compared to 61.9% of patients for ELapproach who were operated within 4-6 days of admission. Days of hospitalization weremore for EL compared to ST group with significant difference (P<0.005) Functionaloutcome at 24 weeks by AOFAS scoring system depends on fracture pattern and approachused for it. AOFAS score 78/100 for ST approach for Sanders type 2 and 75/100 for ELapproach for Sanders type 3. EL group had more complications in the form of plate removaldue to infection, skin necrosis or wound dehiscence as compared to ST group.Conclusion: Our study showed better results for Sander's Type II Calcaneal fractures bySinus Tarsi approach and better results for Sander's Type III Calcaneal fractures byExtensile Lateral approach.

Introduction: Currently, Open Reduction Internal Fixation (ORIF) through the ExtensileLateral approach is considered the most widely accepted surgical procedure for displacedintra- articular calcaneal fracture. Minimally invasive reduction and fixation techniques viaSinus Tarsi approach (STA) have been developed in attempts to avoid potentialcomplications associated with an extensile lateral approach, The purpose of this study is toevaluate functional and clinical outcome of displaced intra- articular fractures of calcaneum(DIACF) treated by using Extensile Lateral and Sinus Tarsi approaches.Materials and Methods: This study was carried out in GMERS Medical College andGeneral Hospital Gotri Vadodara from August 2020 to May 2022, consisting of total 42patients of intra-articular fractures of calcaneum. This was a comparative prospective study.All the patients were operated by surgeons experienced in both the approaches.Results: Majority were male patients with mean age of 37 years and had history of fall fromheight as mode of injury and had unilateral calcaneum fracture. 90.5% of patients for STapproach were operated within 4 days of admission as compared to 61.9% of patients for ELapproach who were operated within 4-6 days of admission. Days of hospitalization weremore for EL compared to ST group with significant difference (P<0.005) Functionaloutcome at 24 weeks by AOFAS scoring system depends on fracture pattern and approachused for it. AOFAS score 78/100 for ST approach for Sanders type 2 and 75/100 for ELapproach for Sanders type 3. EL group had more complications in the form of plate removaldue to infection, skin necrosis or wound dehiscence as compared to ST group.Conclusion: Our study showed better results for Sander's Type II Calcaneal fractures bySinus Tarsi approach and better results for Sander's Type III Calcaneal fractures byExtensile Lateral approach.