The treatment of calcaneal fractures has evolved over time. Despite understanding the pathomechanics involved, these fractures remain difficult to treat. Advances in imaging and surgical technology have enabled experienced fracture surgeons to obtain consistent results. Obtaining anatomic reduction at the time of surgery is not paramount importance. Minimally invasive approaches and the emergence of new technology may aid surgeons who treat these complex fractures.
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Gun-related violence is becoming increasingly more common in the United States, and ballistic injuries pose a challenge to the orthopaedic surgeon on trauma call. The guiding principles of trauma care are almost exclusively based on blunt trauma, and the management principles do not always translate. Ballistic long bone fractures, particularly of the lower extremity, can often be managed with similar principles, although the injury pattern can make restoration of anatomic alignment a challenge.
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