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Surgical Treatment of Intra-Articular Calcaneal Fractures Kazuma Nakajima 1 , Keiji Sano 1 , Koji Ito 1 , Masafumi Katsuta 2 , Atsuhiro Imakiire 2 , Katsuji Ichimaru 3 , Shuzo Nagai 4 1Department of Orthopaedic Surgery, Tokyo Medical University, Hachioji Medical Center 2Department of Orthopaedic Surgery, Tokyo Medical University 3Department of Orthopaedic Surgery, Tokyo Medical University, Kasumigaura Hospital 4Department of Orthopaedic Surgery, Akishima Hospital Keyword: intra-articular calcaneal fractures , 踵骨関節内骨折 , the minimally invasive procedure , 小切開法 , open reduction , 観血的整復 pp.837-843
Published Date 2004/6/1
DOI https://doi.org/10.11477/mf.1408100477
  • Abstract
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 We investigated the results of invasive treatment of intra-articular calcaneal fractures and the indications. The surgical procedures were performed according to the modified Westhues method. One group of patients was treated by a minimally invasive procedure in which percutaneous reduction of the articular face was followed by a small incision approximetely 3 cm below the posterior talocalcaneal joint face, the bone-deficient site was filled with artificial bone, and fixation was performed mainly with K-wires. The other group of patients was treated by open reduction by an extended lateral approach through an L-shaped skin incision, and fixation was mainly performed with a plate. The results of the postoperative clinical evaluation were favorable, with a grade of “good” or better having been achieved in 84% of the cases. In our case, no correlations were found between the postoperative Böhler's angle or calcaneal width index and the result of the clinical evaluation, but, a correlation was found between the step-off of the postoperative posterior talocalcaneal joint face and the result of the clinical evaluation. An excellent outcome was obtained in all cases in which the minimally invasive procedure was used. Whenever possible, a less invasive surgical procedures should be used in elderly patients and patients with minor depression of the joint face or inversion.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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