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

Abstract

A retrospective cohort study demonstrated that, in comparison with open reduction and internal fixation through an extensile lateral approach, our percutaneous technique for reduction and internal fixation of displaced intra-articular calcaneal fractures decreases the rate of complications and achieves and maintains extra-articular fracture reductions just as well. Position the patient correctly to obtain excellent fluoroscopic views, which are key to the procedure. The techniques for reducing and fixing joint depression and tongue-type calcaneal fractures differ and will be described separately. Identify screw entry points and paths using fluoroscopic images, and confirm the final positions with c-arm imaging. Apply a splint; then obtain postoperative images to confirm fracture reduction and screw placement. The results of percutaneous reduction of displaced intra-articular calcaneal fractures in seventy-nine patients with a total of eighty-three fractures were compared with those obtained by another surgeon using the extensile lateral approach. IndicationsContraindicationsPitfalls & Challenges.