Current Concepts in Intra-articular Calcaneus Fractures

Area of Science:

• Orthopedic surgery
• Traumatology
• Radiology

Background:

• Intra-articular calcaneal fractures significantly impact foot mechanics and patient quality of life.
• Radiography is initial diagnostic tool, but computed tomography (CT) is vital for detailed 3D fracture assessment and surgical planning.

Purpose of the Study:

• To review the diagnosis, classification, and treatment of intra-articular calcaneal fractures.
• To compare the sinus tarsi and extended lateral approaches for managing these injuries.

Main Methods:

• Review of current literature on calcaneal fracture management.
• Discussion of diagnostic imaging modalities (radiography and CT).
• Analysis of surgical approaches: sinus tarsi and extended lateral "L".

Main Results:

• Computed tomography is essential for surgical planning of intra-articular calcaneal fractures.
• Both sinus tarsi and extended lateral approaches provide similar functional outcomes.
• The sinus tarsi approach is associated with a lower complication rate.

Conclusions:

• Surgical intervention is the gold standard for subtalar joint fractures.
• The sinus tarsi approach is a favorable surgical option for intra-articular calcaneal fractures due to its safety profile.