Minimally invasive reduction and fixation of displaced calcaneal fractures: surgical technique and radiographic analysis

International Orthopaedics
Mateen ArastuR Buckley

Abstract

The optimal treatment of calcaneal fractures is controversial. A specific subgroup of healthy patients has good outcomes with open reduction and internal fixation using an extensile lateral approach. However, there are many patients who do not fit into this category. Consequently, they are either denied surgical intervention or put at significant risk of developing complications as a result of open surgical intervention. Minimally invasive reduction and fixation (MIRF) of calcaneal fractures can restore the height, width, length and shape of the hindfoot in addition to restoring the orientation of the posterior facet of the calcaneus (Böhler's angle). We present a series of 31 patients treated with minimally invasive reduction and fixation technique using threaded K wires and Steinmann pins as an alternative treatment method in patients who are not suitable for open reduction and internal fixation. The mean time to surgery from injury was six days (range one to ten days). The mean duration of surgery was 35 minutes (range 11-52 minutes). The mean followup was 14.9 months (range of seven to 30 months). The mean change in Böhler's angle and length of the calcaneus from intra-operative fixation to final followup were 18.7° and 4.7...Continue Reading

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Citations

May 12, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Philip S PastidesPeter F Rosenfeld
Oct 23, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Sander van Hoeve, Martijn Poeze
Nov 18, 2016·Foot & Ankle International·Saran TantavisutJohn L Marsh
May 18, 2016·Foot & Ankle International·Aaron T ScottKamran S Hamid
Oct 15, 2019·The Journal of Bone and Joint Surgery. American Volume·Edward J HarveyJulie Agel
Oct 17, 2017·SICOT-J·Mandeep S Dhillon, Sharad Prabhakar
Feb 6, 2021·Foot and Ankle Clinics·Gabriel Khazen, Cesar Khazen Rassi

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