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Related Experiment Video

Updated: Jun 20, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Ligamentotaxis for complex calcaneal fractures using Joshi's external stabilization system.

Ajai Singh¹, R N Srivastava, M Jah

¹Department of Orthopedics, CSM Medical University, Lucknow, UP, India. as29762@gmail.com

Indian Journal of Orthopaedics

|September 16, 2009

Summary

Ligamentotaxis using Joshi's external stabilization system (JESS) effectively treats complex calcaneal fractures. This method offers a viable, user-friendly alternative for managing these challenging injuries, with good functional outcomes reported.

Keywords:

Calcaneal fracture Joshi's external stabilization system ligamentotaxis

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Area of Science:

Orthopedic Surgery
Traumatology
Biomechanics

Background:

Complex calcaneal fractures present management challenges.
Ligamentotaxis is a potential treatment strategy.

Purpose of the Study:

To evaluate the efficacy of ligamentotaxis using Joshi's external stabilization system (JESS) for complex calcaneal fractures.

Main Methods:

Forty-five patients with complex calcaneal fractures were treated with JESS external fixation.
Gradual distraction aimed to restore normal articular alignment and angles.
Functional outcomes were assessed using the American Orthopedic Foot and Ankle Society (AOFAS) Score.

Main Results:

93.4% of patients achieved good outcomes with ligamentotaxis.
71% of cases showed good results based on AOFAS scores.
Persistent heel pain occurred in 24.4% of patients, particularly those with severe comminution.

Conclusions:

Ligamentotaxis using JESS is a viable and user-friendly management option for complex calcaneal fractures.
The technique demonstrates good functional recovery and patient satisfaction.