[Current Concepts in Intra-articular Calcaneus Fractures]

Area of Science:

• Orthopedic surgery
• Traumatology
• Radiology

Context:

• Intra-articular calcaneal fractures are severe injuries impacting foot mechanics and quality of life.
• Diagnosis relies on initial radiography, with CT scans essential for detailed 3D anatomy and surgical planning.

Purpose:

• To review the diagnosis, classification, and treatment of intra-articular calcaneal fractures.
• To compare the sinus tarsi and extended lateral approaches for subtalar joint fracture management.

Summary:

• Computed tomography is vital for surgical planning in intra-articular calcaneal fractures.
• Surgical intervention is the gold standard; the sinus tarsi approach shows comparable functional outcomes to the extended lateral approach but with fewer complications.
• The article details fixation techniques for various fracture types using these surgical approaches.

Impact:

• Provides a comprehensive overview for clinicians managing complex calcaneal fractures.
• Highlights the benefits of the sinus tarsi approach in reducing surgical complications.
• Aids in optimizing surgical planning and treatment selection for improved patient outcomes.