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Review| Volume 43, ISSUE 10, P1640-1650, October 2012

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Management of calcaneal fractures

What have we learnt over the years?
  • Enrique Guerado
    Correspondence
    Corresponding author at: Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, Autovía A-7 Km.187, 29603 Marbella, Malaga, Spain. Tel.: +34 951976224; fax: +34 951976222.
    Affiliations
    Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga, Marbella, Malaga, Spain
    Search for articles by this author
  • María Luisa Bertrand
    Affiliations
    Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga, Marbella, Malaga, Spain
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  • Juan Ramón Cano
    Affiliations
    Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga, Marbella, Malaga, Spain
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      Abstract

      Calcaneal fractures result, in many cases, in, subtalar joint stiffness and severe disability. Diagnosis is usually made by X-ray, but more accurately by a computed tomography (CT) scan. In the last years, much has been known regarding its physiopathology and osteosynthesis. Although new developments in osteosynthesis materials have been made, calcaneus fractures still remains in dispute of those advocating non-operative treatment and those defending open reduction and internal fixation. Less invasive surgery, arthroscopy and three-dimensional (3D) fluoroscopy are very important for reduction accuracy and soft-tissue damage avoidance. In this article, the physiopathology, diagnosis, classification and treatment of calcaneus fractures are updated. Nevertheless, systematic reviews have shown no evidence about what treatment is better.

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