Current Management of Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg

Department of Orthopedics, West Penn Hospital Foot & Ankle Surgery, Allegheny Health Network, Pittsburgh, PA, USA. Electronic address:

Published: July 2024

AI Article Synopsis

  • * Surgery is usually recommended for fractures that are significantly displaced or shattered, but it comes with risks due to the poor blood supply and delicate soft tissues in the area.
  • * Common surgical methods include the lateral extensile approach, minimal incision (sinus tarsi approach), and percutaneous approach, with the best choice depending on the patient’s overall health, the specifics of the fracture, soft tissue condition, and the patient's functional status before the injury.

Article Abstract

Intra-articular calcaneal fractures are debilitating injuries that can result in a dramatic effect on quality of life post-injury. Surgical intervention is generally advised when significant displacement or comminution is present but can present a host of complications secondary to the limited blood supply and fragility to the soft tissues following injury. Surgical approaches to calcaneal fractures generally include the lateral extensile approach, minimal incision (sinus tarsi approach), or percutaneous approach. Each approach presents risks and benefits; therefore, determining the optimal incisional approach should be based on patient comorbidities, fracture pathoanatomy, soft tissue envelope concerns, and patient pre-injury functional status.

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Source
http://dx.doi.org/10.1016/j.cpm.2024.01.006DOI Listing

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