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J Am Acad Orthop Surg, Vol 12, No 3, May/June 2004, 172-178.
© 2004 the American Academy of Orthopaedic Surgeons
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Displaced Intra-articular Calcaneal Fractures

Richard E. Buckley, MD, FRCSC and Suzanne Tough, PhD

Dr. Buckley is Associate Clinical Professor, Department of Surgery, University of Calgary, Calgary, AB, Canada. Dr. Tough is Research Associate, Department of Pediatrics, Foothills Medical Centre, Calgary.

Reprint requests: Dr. Buckley, Foothills Hospital, Room 144A, 1403 - 29 Street NW, Calgary, AB T2N 2T9 Canada.

Deciding how to manage displaced intra-articular calcaneal fractures is challenging. Preoperative assessment of the fracture, patient status, and the patient’s functional needs are important in determining treatment approach. In general, older, sedentary patients and those with no or with minimally displaced fractures may be treated successfully with nonsurgical management. Traits strongly predictive of satisfaction with surgery include age younger than 40 years, simple fracture pattern, and accurate reduction. Smoking, diabetes, and peripheral vascular disease markedly increase the risk of surgical complications. In addition, the quality of surgical reduction affects outcome.






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Copyright © 2004 by the American Academy of Orthopaedic Surgeons.