Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach.

ABSTRACT:

Introduction

Although displaced intra-articular calcaneal fractures were historically treated nonoperatively because of unreliable outcomes, they are now commonly treated with open reduction and internal fixation (ORIF).

Step 1 preoperative planning and operative setup

Coronal images are most helpful.

Step 2 incision and soft-tissue management

Elevate the flap using the "no-touch" technique to minimize wound complications.

Step 3 reduce posterior facet and perform provisional stabilization

Achieve anatomic reduction of the medial calcaneal wall before proceeding with the remainder of the fracture reduction.

Step 4 apply lag fixation and a lateral neutralization plate

Use a traditional nonlocking plate and be sure that at least one lag screw achieves purc

SUBMITTER: Schweitzer KM 

PROVIDER: S-EPMC8343974 | biostudies-literature | 2011 Jul-Sep

REPOSITORIES: biostudies-literature