Operative treatment of intra-articular fractures of the calcaneus.
Displaced intra-articular fractures of the calcaneus remain a diagnostic and therapeutic dilemma. The classification of these fractures has been frustrated in the past by limitations of radiographic technique. Because of our need to consistently analyze our results, a CT scan classification was developed, based on the number and location of articular fracture fragments. The authors have treated displaced intra-articular calcaneal fractures according to an operative protocol using a modified lateral approach, a new plate and lag screws, all without the use of bone graft. This article will discuss in depth the treatment options available as well as the controversies that surround them.
Sanders
R
R
Florida Orthopaedic Institute, Tampa, USA.
Gregory
P
P
D001168:Arthritis / Q000628:therapy; D001860:Bone Plates; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D050723:Fractures, Bone / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009443:Neuritis / Q000628:therapy; D010019:Osteomyelitis / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology; D013497:Sural Nerve; D013529:Surgical Wound Dehiscence / Q000628:therapy; D014057:Tomography, X-Ray Computed