Intraoperative Foot Positioning During Percutaneous Calcaneal Fixation: A Technical Note

Area of Science:

• Orthopedic Surgery
• Traumatology
• Skeletal Repair

Background:

• Percutaneous screw fixation is effective for managing certain calcaneal fractures, including extra-articular and some intra-articular types requiring closed reduction.
• Tongue-type calcaneal fractures with posterior facet dislocation and calcaneal fractures with significant soft tissue compromise (e.g., open fractures) often necessitate percutaneous reduction techniques.

Purpose of the Study:

• To describe a specific intraoperative positioning technique for percutaneous screw fixation of calcaneal fractures.
• To detail the use of a lithotomy stirrup for consistent imaging and minimal manipulation during the procedure.

Main Methods:

• The study describes the intraoperative positioning of the foot using a lithotomy stirrup.
• This method facilitates percutaneous screw fixation of calcaneal fractures.
• Emphasis is placed on minimizing foot and C-arm manipulation for consistent imaging.

Main Results:

• The described technique allows for effective percutaneous fixation of calcaneal fractures.
• It provides a therapeutic option for patients with contraindications to open reduction.
• Consistent imaging and reduced manipulation were achieved during the procedure.

Conclusions:

• Percutaneous screw fixation is a valuable approach for specific calcaneal fractures.
• The lithotomy stirrup positioning technique aids in achieving optimal outcomes with minimal invasiveness.
• This method is particularly beneficial for complex fractures and high-risk patients.