Surgical Treatment for Displaced Intra-Articular Calcaneal Fractures

Chul Hyun Park; Oog Jin Shon

doi:10.12671/jkfs.2016.29.3.221

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Park and Shon: Surgical Treatment for Displaced Intra-Articular Calcaneal Fractures

Review Article

Journal of the Korean Fracture Society 2016; 29(3): 221-231.

Published online: 21 July 2016

DOI: https://doi.org/10.12671/jkfs.2016.29.3.221

Surgical Treatment for Displaced Intra-Articular Calcaneal Fractures

Chul Hyun Park, M.D., Oog Jin Shon, M.D.

Department of Orthopaedic Surgery, Yeungnam University College of Medicine, Daegu, Korea.

Address reprint requests to: Oog Jin Shon, M.D. Department of Orthopaedic Surgery, Yeungnam University Medical Center, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea. Tel: 82-53-620-3640, Fax: 82-53-628-4020, ossoj@med.yu.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Calcaneal fractures are the most common type of tarsal fracture, and comminuted and bursting fractures are common due to the anatomic characteristics of the calcaneus. Assessment and treatment of calcaneal fractures has improved significantly over time. Despite advancements in surgical techniques and equipment, these fractures remain difficult to treat. In this review article, the physiopathology, classification, and surgical treatments of displaced intra-articular calcaneal fractures are updated.

Keywords: Calcaneus, Fractures, Surgery

Figures and Tables

Fig. 1

(A) Arthroscopically guided reduction of the calcaneus fracture. Arthroscopic procedures are performed using the anterolateral and central portals. (B) Arthroscopic checking of the posterior facet. The intra-articular step is checked on the posterior facet. (C) The step is reduced with percutaneous leverage of the tuberosity fragment.

Fig. 2

Whole subtalar joint is exposed using the extensile lateral approach.

Fig. 3

Anatomical low-profile plate is placed after reduction of the posterior facet using the extensile lateral approach.

Fig. 4

Extended sinus tarsi approach. (A) After incision of the calcaneofibular ligament (CFL) at the fibular attachment, the subtalar joint is widely exposed. (B) A incised CFL is repaired using a 2.7-mm suture anchor.

Fig. 5

(A) Open subtalar arthroscopy is performed after reduction and temporary K-wire fixation of the fragments using a sinus tarsi approach. (B) The intra-articular step is checked on the posterior facet. (C) The step is reduced with percutaneous leverage of the tuberosity fragment.

Fig. 6

Allograft bone chips are inserted at the bone defect site after reduction of the posterior facet.

Fig. 7

Negative pressure wound therapy is applied to assist wound healing after the extensile lateral approach.

Notes

^{Financial support} None.

^{Conflict of interest} None.

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