Interlocking Nail Fixation for the Treatment of Displaced Intra-Articular Calcaneal Fractures.

Introduction: Less invasive restoration of joint congruity and calcaneal shape in displaced intra-articular calcaneal fractures via a sinus tarsi approach followed by percutaneous internal fixation with an interlocking nail results in a low rate of soft-tissue complications and good short-term outcomes (Video 1).

Step 1 Patient Placement: Place the patient in the lateral decubitus position, supporting the involved extremity with a soft radiolucent pillow, flex the contralateral knee, check with fluoroscopy before draping, and obtain lateral radiographs.

Step 2 Incision: Use a sinus tarsi approach for control of the articular reduction.

[Treatment of calcaneal fractures with a locking nail (C-Nail)].

Objective: Anatomic reconstruction of the posterior facet by primary stabilization of the calcaneal fracture with a locking nail.

Indications: All intraarticular calcaneal fractures and unstable two-part fractures independent of the degree of closed/open soft tissue trauma.

Contraindications: High perioperative risk, soft tissue infection, beak fracture (type II fracture) and still open apophysis.

Interlocking Nailing Versus Interlocking Plating in Intra-articular Calcaneal Fractures: A Biomechanical Study.

Background: Open reduction and internal fixation with a plate is deemed to represent the gold standard of surgical treatment for displaced intra-articular calcaneal fractures. Standard plate fixation is usually placed through an extended lateral approach with high risk for wound complications. Minimally invasive techniques might avoid wound complications but provide limited construct stability.

Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures.

Objectives: To reduce the complication rate associated with open reduction and internal fixation of displaced intraarticular calcaneal fractures through extensile approaches, a locking nail system (C-Nail) was developed for internal fixation.

Design: Prospective case-control study.

Setting: Two level I trauma centers (university hospital) and 1 large regional hospital in the Czech Republic and Germany.

[Operative treatment of displaced intra-articular calcaneal fractures].

Objective: Anatomic reduction of displaced intra-articular calcaneal fractures with restoration of height, length, and axial alignment and reconstruction of the subtalar and calcaneocuboid joints.

Indications: Displaced intra-articular calcaneal fractures with incongruity of the posterior facet of the subtalar joint, loss of height, and axial malalignment.

Contraindications: High perioperative risk, soft tissue infection, advanced peripheral arterial disease (stage III), neurogenic osteoarthropathy, poor patient compliance (e.