Executive Editor: Joseph Schatzker

Authors: Richard Buckley, Andrew Sands

Calcaneus

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Glossary

Simple undisplaced fracture of the calcaneus body

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Nondisplaced fractures with maintenance of Bohler's angle. Basic surgical experience, no specialized skills Basic equipment only

Displaced fracture of the calcaneus body

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF - plate and screw fixation Displaced, mal angulated hind feet in healthy compliant individuals. Highly experienced and skilled surgeon Full specialized surgical and imaging resources
MIO - K-wire and screw fixation (joint-depression type) Simple joint depression fractures in patients where large incision ORIF is contraindicated. Highly experienced and skilled surgeon Full specialized surgical and imaging resources
MIO - K-wire fixation (tongue type) Tongue type fractures in patients where large incision ORIF is contraindicated. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Extreme tongue-type (beak) fracture of the calcaneus body

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF - screw fixation Early (less than 24h) reduction in bony injury that compromises the skin surrounding the achilles tendon. Some specialized surgical experience Simple surgical and imaging resources

Sustentacular fracture of the calcaneus body

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF - screw fixation More than 2 mm of sustentaculum displacement in isolation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Special considerations

Open fractures
Combined hindfoot injuries
Compartment syndrome
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2010-10-14