[New techniques in the operative treatment of calcaneal fractures]. Academic Article uri icon

Overview

abstract

  • The ideal treatment of displaced intra-articular calcaneal fractures is still controversially discussed. Because of the variable fracture patterns and the vulnerable soft tissue coverage an individual treatment concept is advisable. In order to minimize wound edge necrosis associated with extended lateral approaches, selected fractures may be treated percutaneously or in a less invasive manner while controlling joint reduction via a sinus tarsi approach. Fixation in these cases is achieved with screws, intramedullary locking nails or modified plates that are slid in subcutaneously. A thorough knowledge of the three dimensional calcaneal anatomy and open reduction maneuvers is a prerequisite for good results with less invasive techniques. Early functional follow-up treatment aims at early rehabilitation independent of the kind of fixation. Peripheral fractures of the talus and calcaneus frequently result from subluxation and dislocation at the subtalar and Chopart joints. They are still regularly overlooked and result in painful arthritis if left untreated. If an exact anatomical reduction of these intra-articular fractures is impossible, resection of small fragments is indicated.

publication date

  • March 1, 2016

Research

keywords

  • Ankle Fractures
  • Calcaneus
  • Fracture Fixation, Internal
  • Open Fracture Reduction

Identity

Scopus Document Identifier

  • 84961123749

Digital Object Identifier (DOI)

  • 10.1007/s00113-016-0150-z

PubMed ID

  • 26939988

Additional Document Info

volume

  • 119

issue

  • 3