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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: May 30, 2026

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies
06:53

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies

Published on: July 4, 2017

Pediatric calcaneal fractures.

Hobie Summers1, Patricia Ann Kramer, Stephen K Benirschke

  • 1Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.

Orthopedic Reviews
|August 3, 2011
PubMed
Summary
This summary is machine-generated.

Operative treatment of displaced, intra-articular calcaneal fractures in children yields results comparable to adults. This study shows open reduction and internal fixation is a safe and effective method for pediatric calcaneal fractures.

Keywords:
calcaneusintra-articularpediatric.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Traumatology

Background:

  • Operative treatment for displaced, intra-articular calcaneal fractures in adults is standard.
  • Treatment for similar fractures in skeletally immature patients remains controversial.
  • Previous studies confounded fracture types and severity in pediatric cases.

Purpose of the Study:

  • To evaluate the outcomes of operative fixation for displaced, intra-articular calcaneal fractures in skeletally immature patients.
  • To compare these outcomes to those typically seen in adult patients.
  • To assess the safety and efficacy of using an adult surgical protocol in children.

Main Methods:

  • Review of 21 displaced, intra-articular calcaneal fractures in 18 skeletally immature patients.
  • Treatment involved open reduction and internal fixation using an adult protocol.
  • Pre-operative and post-operative Böhler's angle measurements were used to assess displacement and reduction.
  • Follow-up radiographs were used to confirm union and maintenance of reduction.

Main Results:

  • Average pre-operative Böhler's angle was -5°, indicating significant displacement.
  • No post-operative infections or wound healing complications occurred.
  • All but one fracture achieved union, with an average follow-up of 1.5 years.
  • Post-operative Böhler's angle averaged 31°, demonstrating successful maintenance of reduction.

Conclusions:

  • Operative fixation using an adult protocol is a safe and effective treatment for displaced, intra-articular calcaneal fractures in skeletally immature patients.
  • Outcomes are comparable to those reported in adult populations.
  • This approach can restore calcaneal anatomy and achieve union without significant complications.