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[Fracture of the calcaneus]
H Zwipp1, S Rammelt, S Barthel
1Klinik und Poliklinik für Unfall- und Wiederherstellungschirurgie am Universitätsklinikum "Carl Gustav Carus" Dresden. claudia.burski@uniklinikum-dresden.de
Der Unfallchirurg
|September 10, 2005
Summary
Surgical treatment for calcaneus fractures advanced significantly in the 1980s with CT imaging and new techniques. These innovations, including anatomical reduction and internal fixation, improved patient outcomes for heel bone fractures.
Area of Science:
- Orthopedic surgery
- Traumatology
- Radiology
Context:
- Surgical fixation of calcaneus fractures has evolved since the 1920s.
- The 1980s marked a shift towards open anatomical reduction and stable internal fixation.
- Advancements in imaging and surgical techniques have transformed calcaneus fracture treatment.
Purpose:
- To review the evolution of surgical treatment for calcaneus fractures.
- To highlight the impact of new technologies on fracture management.
- To discuss modern surgical strategies for improved functional outcomes.
Summary:
- Open anatomical reduction and stable internal fixation for calcaneus fractures began in the early 1980s.
- Computed tomography (CT) enabled better fracture detection and strategic planning.
- Innovations include modified surgical approaches, arthroscopic control, early flap coverage, 3D monitoring, and interlocking plates.
Impact:
- Improved detection and understanding of calcaneus fracture pathology.
- Enhanced surgical strategies leading to better anatomical reduction.
- Significantly improved functional outcomes for patients with calcaneus fractures.