Operative Compared With Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures

Plating for intra-articular calcaneal fractures…. Is it an overkill?

“…Lateral Seligson's approach was used for all, once oedema subsided and wrinkle sign was seen 7-10 days after injury. 5 The incision was started approximately 2 cm above the tip of the lateral malleolus, just lateral to the Achilles tendon till the plantar surface of the heel. It was then slightly curved and was continued along the junction of the lateral foot and the heel pad till calcaneocuboid joint.…”

“…Reviews on this subject, have failed to demonstrate indisputable superior results by either operative or conservative approach to the treatment of displaced intra-articular calcaneal fractures. 4,5 So, despite the surgeon's extensive experience with this injury, it's a major socio-economic impact with regard to the time lost from work and recreation, and even after attention given to it for many years throughout the world, there is still no method of treatment that yields consistently good results. So we believe such study will attempt to make some valuable contribution to this debate about superiority of operative or conservative treatment.…”

In Brief: Fractures in Brief

“…In a large trial, the mean SF-36 score considering all patients in all groups was approximately 65 of 100 [2]. In this prospective, randomized, controlled multicenter trial studying the effect of operative compared with nonoperative treatment of displaced intraarticular calcaneal fractures, approximately equivalent outcomes were seen in the surgical and nonsurgical groups.…”

Circular frame fixation for calcaneal fractures risks injury to the medial neurovascular structures: A cadaveric description

“…There is perhaps a role for alternative fixation methods be that with ongoing plate fixation 5 , or minimal access calcaneal osteosynthesis or with a lateral only calcaneal external fixator.…”

“…Buckley 5 has noted significantly higher satisfaction scores in operatively managed patients who were not receiving Worker's Compensation, were women, or were patients younger than 29 years old. Since this landmark paper, there has been real interest in fixing calcaneal fractures.…”