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.

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.