A Percutaneous Technique for Reduction and Internal Fixation of Displaced Intra-Articular Calcaneal Fractures

Percutaneous Reduction and Screw Fixation of Displaced Intra-articular Fractures of the Calcaneus

“…From 2000 to 2011, a consecutive series of 153 patients with 182 displaced intra-articular fractures of the calcaneus were identified that were treated operatively with a technique of percutaneous reduction and fixation with screws alone. 13 During this time period, patients were not treated with extensile or other open approaches and there were no patients treated with primary subtalar fusion.…”

“…The details of the operative technique have been previously described. 13 The patients were placed in lateral decubitus position on a radiolucent operating table, with a firm bump underneath the injured foot to support a perfect lateral position. The surgeon stood posterior to the patient with the C-arm entering the operative field opposite them from the end of the bed.…”

“…20,21,32 The senior authors developed a technique of percutaneous reduction and fixation with screws alone for all intra-articular calcaneal fractures without any exclusions and have used this technique since 1999. 13 This study aimed to provide follow-up information for a large group of patients, with clinical outcomes and standard radiographic assessment. It directly assessed the articular reduction issue by using a novel comprehensive articular measurement technique based on postoperative computed tomographic (CT) scans.…”

Correlation of Fracture Energy With Sanders Classification and Post-traumatic Osteoarthritis After Displaced Intra-articular Calcaneus Fractures

“…Fractures were treated with percutaneous reduction, using multiple small stab incisions and fluoroscopy to guide manipulation of articular fragments using cork screws or Steinmann pins, with subsequent fixation using 3.5-and 4.0 mm screws. 7,8 No mini open incisions or plates were used. All procedures were performed by either a fellowship-trained orthopedic trauma surgeon or a fellowship-trained orthopedic foot and ankle surgeon.…”

Limited Approaches to Calcaneal Fractures

“…There are a variety of techniques described in order to obtain a percutaneous reduction and fixation. At our institution, we use the technique previously described by Marsh [16]. The patient is placed in the lateral decubitus position with the injured leg up and posterior to the well leg.…”