Elevation, early range of motion and delayed weight-bearing.
Key points
Evidence summary in preparation.
Displaced intra-articular calcaneal fractures usually follow a fall from height and carry a risk of subtalar arthritis, heel widening and soft-tissue complications. Options are non-operative treatment with early mobilisation, open reduction and internal fixation through an extensile lateral approach, minimally invasive or sinus tarsi fixation, and primary subtalar fusion for severely comminuted fractures.
Elevation, early range of motion and delayed weight-bearing.
Evidence summary in preparation.
Open reduction and plate fixation through an extensile L-shaped lateral approach.
Evidence summary in preparation.
Reduction through a sinus tarsi approach or percutaneously, with screws, nails or small plates.
Evidence summary in preparation.
Primary fusion for severely comminuted (Sanders IV) fractures.
Evidence summary in preparation.
| Paper | Year | Design |
|---|---|---|
| Postoperative wound complications in extensile lateral approach versus sinus tarsi approach for calcaneal fractures: Are we improving? Updated meta-analysis of recent literature. Attenasio A · Injury · 2024 · Systematic review / meta-analysisKey paper | 2024 | Systematic review / meta-analysisLevel I-II |
| Extensile lateral versus sinus tarsi approach for displaced, intra-articular calcaneal fractures: a meta-analysis. Mehta CR · J Orthop Surg Res · 2018 · Comparative studyKey paper | 2018 | Comparative studyLevel II-III |
| Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial. Griffin D · BMJ · 2014 · Randomised controlled trialKey paper | 2014 | Randomised controlled trialLevel I |