Dataset Information

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 purchase.

Step 5 close wound

Use the "no-touch" technique, with the goal of tension-free wound closure.

Step 6 postoperative care

Watch closely for drainage or delayed healing.

Results & preop/postop images

ORIF is a viable treatment option for displaced intra-articular calcaneal fractures without contraindication for older patients.

What to watch for

IndicationsContraindicationsPitfalls & Challenges.

SUBMITTER: Schweitzer KM

PROVIDER: S-EPMC8343974 | biostudies-literature |

REPOSITORIES: biostudies-literature

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