Displaced intra-articular calcaneal fractures treated with Calcanail® and additional screw fixation of the thalamic surface through lateral subtalar arthroscopy

The treatment of displaced intra-articular calcaneal fractures is not standardized, as many surgeons prefer not to perform surgery, considering a high rate of cutaneous complications associated with the usual extensile lateral approach. The Calcanail® represents a percutaneous osteosynthesis device...

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Bibliographic Details
Published in:Foot & ankle surgery (New York, N.Y.) N.Y.), 2024, Vol.4 (3), p.100409, Article 100409
Main Authors: Cascales, V., Cellier, N., Michaud, J., Kouyoumdjian, P., Coulomb, R.
Format: Article
Language:English
Subjects:
Calcanail
Calcaneus
Displaced intra-articular calcaneal fractures
Evidence
Foot and ankle
Level IV case series study / technical note
mini-invasive
subtalar arthroscopy
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Description
Summary:The treatment of displaced intra-articular calcaneal fractures is not standardized, as many surgeons prefer not to perform surgery, considering a high rate of cutaneous complications associated with the usual extensile lateral approach. The Calcanail® represents a percutaneous osteosynthesis device that is biomechanically more stable than multiple screws or locking plates. While it effectively restores the height and axis of the hindfoot, it appears to be less reliable in achieving articular reduction of the thalamic surface in cases of mixed fractures. Therefore, we developed a new technique suitable for comminuted mixed fractures, using the Calcanail® device with an arthroscopically guided closed reduction internal fixation of the thalamic surface.
ISSN:2667-3967
2667-3967
DOI:10.1016/j.fastrc.2024.100409