Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 9 , ISSUE 3 ( November, 2014 ) > List of Articles

Original Article

Surgical treatment of intra-articular calcaneal fractures: description of a technique using an adjustable uniplanar external fixator

Randal Rudge Ramos, Carlos Daniel Candido de Castro Filho, Roger Rudge Ramos, Cíntia Kelly Bittar, Mario Sérgio Paulilo de Cillo, Carlos Augusto de Mattos, José Luís Amim Zabeu, Antenor Rafael Mazzuia

Keywords : Calcaneus, Os calcis, External fixator, Intra-articular fractures

Citation Information : Ramos RR, de Castro Filho CD, Ramos RR, Bittar CK, de Cillo MS, de Mattos CA, Zabeu JL, Mazzuia AR. Surgical treatment of intra-articular calcaneal fractures: description of a technique using an adjustable uniplanar external fixator. 2014; 9 (3):163-166.

DOI: 10.1007/s11751-014-0207-x

License: CC BY-NC-SA 4.0

Published Online: 30-11-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Several surgical techniques are available for the treatment of intra-articular calcaneal fractures. The use of a uniplanar external fixator is an option for the treatment of fractures classified as Sanders types 2 and 3. Satisfactory reduction and stabilisation of the fracture are achieved by means of mini-incisions and fixator adjustment. The advantages of this technique include less soft-tissue damage, avoidance of internal implants and early weight-bearing with the potential to improve postoperative recovery.

PDF Share
  1. Kinner BJ, Best R, Falk K, Thon KP (2002) Is there a reliable outcome measurement for displaced intra-articular calcaneal fractures? J Trauma 53(6):1094-1101 (discussion 1102)
  2. Sanders R (2000) Displaced intra-articular fractures of the calcaneus. J Bone Joint Surg Am 82(2):225-250
  3. Geel CW, Flemister AS Jr (2001) Standardized treatment of intraarticular calcaneal fractures using an oblique lateral incision and no bone graft. J Trauma 50(6):1083-1089
  4. Huang PJ, Huang HT, Chen TB, Chen JC, Lin YK, Cheng YM (2002) Open reduction and internal fixation of displaced intraarticular fractures of the calcaneus. J Trauma 52(5):946-950
  5. Westphal T, Piatek S, Halm JP, Schubert S, Winckler S (2004) Outcome of surgically treated intraarticular calcaneus fractures— SF36 compared with AOFAS and MFS. Acta Orthop Scand 75(6):750-755
  6. Besch L, Schmidt I, Mueller M, Daniels-Wredenhagen M, Hilgert RE, Varoga D et al (2008) A biomechanical evaluation to optimize the configuration of a hinged external fixator for the primary treatment of severely displaced intraarticular calcaneus fractures with soft tissue damage. J Foot Ankle Surg 47(1):26-33
  7. Oznur A, Komurcu M, Marangoz S, Tasatan E, Alparslan M, Atesalp AS (2008) A new perspective on management of open calcaneus fractures. Int Orthop 32(6):785-790
  8. Roukis TS, Wünschel M, Lutz HP, Kirschner P, Zgonis T (2008) Treatment of displaced intra-articular calcaneal fractures with triangular tube-to-bar external fixation: long-term clinical followup and radiographic analysis. Clin Podiatr Med Surg 25(2):285-299
  9. Ali AM, Elsaied MA, Elmoghazy N (2009) Management of calcaneal fractures using the Ilizarov external fixator. Acta Orthop Belg 75(1):51-56
  10. Besch L, Waldschmidt JS, Daniels-Wredenhagen M, Varoga D, Mueller M, Hilgert RE et al (2010) The treatment of intraarticular calcaneus fractures with severe soft tissue damage with a hinged external fixator or internal stabilization: long-term results. J Foot Ankle Surg 49(1):8-15
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.