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Fractures: Bone Repair

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...

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Updated: Oct 19, 2025

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

Calcaneal Fractures-Which Approach for Which Fracture?

Stefan Rammelt¹, Michael P Swords²

¹University Center of Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany.

The Orthopedic Clinics of North America

|September 20, 2021

Summary

This summary is machine-generated.

Tailoring calcaneal fracture treatment to individual anatomy is crucial. Operative repair demands precise reconstruction of the calcaneus (heel bone) and joint surfaces for optimal outcomes.

Keywords:

Control of reduction Displaced calcaneus fracture Less invasive fixation Percutaneous fixation Subtalar joint

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Area of Science:

Orthopedic Surgery
Traumatology
Skeletal Biomechanics

Background:

Calcaneal fractures require individualized treatment strategies based on specific pathoanatomy.
Operative intervention necessitates accurate anatomical restoration of the calcaneus and associated joint surfaces.

Purpose of the Study:

To outline tailored surgical approaches for various calcaneal fracture patterns.
To emphasize the importance of anatomic reconstruction in operative calcaneal fracture management.

Main Methods:

Review of surgical techniques for calcaneal fractures.
Description of the sinus tarsi approach for displaced intraarticular fractures.
Discussion of percutaneous fixation for extraarticular and simple intraarticular fractures.

Main Results:

Less invasive sinus tarsi approach allows for anatomic reconstruction in most displaced intraarticular fractures.
Percutaneous fixation is effective for displaced extraarticular and simple intraarticular fractures.
Specific surgical approaches address rare calcaneal fracture variants.

Conclusions:

Individualized treatment and anatomic reconstruction are paramount in managing calcaneal fractures.
Minimally invasive techniques, such as the sinus tarsi approach and percutaneous fixation, offer effective solutions for specific fracture types.