Reduction Techniques for Calcaneus Fractures-Using a Femoral Distractor
Jonathan C Arnold1,2, Elliott Druten1,2, Taylor Landis1,2
1Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN; and.
Journal of Orthopaedic Trauma
|July 17, 2026
Summary
Displaced calcaneal fractures cause hindfoot problems. A novel technique using a femoral distractor aided fracture reduction, improving alignment while minimizing soft-tissue damage.
Area of Science:
- Orthopedic surgery
- Traumatology
- Foot and ankle surgery
Background:
- Displaced intra-articular calcaneal fractures significantly impact hindfoot alignment and function.
- Minimally invasive techniques for these fractures can compromise the reduction of the calcaneal tuberosity.
- Achieving optimal reduction is crucial for long-term patient outcomes.
Purpose of the Study:
- To present a novel surgical approach for treating displaced intra-articular calcaneal fractures.
- To demonstrate the utility of a laterally applied femoral distractor in complex calcaneal fracture reduction.
- To evaluate the effectiveness of this technique in correcting multiplanar malalignment with limited soft-tissue disruption.
Main Methods:
- Case report of a 29-year-old male with a displaced intra-articular calcaneal fracture.
- Surgical treatment utilizing a laterally applied femoral distractor.
- Focus on facilitating reduction of coronal, sagittal, and axial malalignment.
Main Results:
- Successful correction of coronal, sagittal, and axial malalignment was achieved.
- The technique allowed for effective reduction of the displaced calcaneal tuberosity.
- Soft-tissue disruption was minimized, potentially reducing wound-related complications.
Conclusions:
- A laterally applied femoral distractor is a viable tool for complex calcaneal fracture reduction.
- This method facilitates multiplanar correction while preserving soft tissues.
- It offers a promising alternative for managing displaced intra-articular calcaneal fractures.
