A Minimally Invasive, Dual-incision (Medial and Lateral) Approach: An Alternative Technique for Reduction and Fixation of Intra-Articular Calcaneus Fractures

Calcaneus fractures are severe injuries that historically have been associated with poor outcomes and debilitating consequences. To maximize functional outcome, the literature in favor of operative management encourages anatomic reduction and alignment of displaced, intra-articular calcaneus fractures, while minimizing risk to soft tissues. Because of the increased risk of soft tissue complications with extensile approaches, minimally invasive techniques have continued to gain popularity. The current technique aims to describe a minimally invasive approach to calcaneus fractures through a dual-incision, lateral (sinus tarsi) and medial, approach. This approach facilitates anatomic reduction of the calcaneal tubercle to restore calcaneal tuberosity height and length, thus facilitating anatomic reduction of the posterior facet and realignment of the anterior calcaneus while minimizing risk of soft tissue complications. The authors’ results support this technique and we recommend it as a safe and effective method for open reduction and internal fixation of displaced, intra-articular calcaneal fractures.
Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.

Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: CME Article Source Type: research