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Since 1980 our treatment of displaced intra-articular calcaneal fractures consists of open reduction with distractor, bone grafting, and internal fixation. Thereby no splints are applied and early postoperative movement is possible. For precise preoperative planning a CT scan is required. Proper timing and careful preoperative planning are essential to prevent soft-tissue complications. In a total of 16 fractures good clinical and radiologic results were achieved in 50% of the cases; results were satisfactory in 25% and poor in 25%. The patients returned to work after an average of 5 months. Only three patients (19%) received disability compensations, which compares favorably with nonoperative treatment. We believe that a majority of comminuted intra-articular fractures of the calcaneus profit from open reduction and internal fixation and that more reliable functional results are achieved than with conservative therapy.
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
April 1995,
The Orthopedic clinics of North America,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
February 1995,
Foot & ankle international,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
April 1988,
The Journal of trauma,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
January 1999,
International orthopaedics,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
January 2006,
Acta chirurgica Iugoslavica,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
February 2012,
Zhongguo gu shang = China journal of orthopaedics and traumatology,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
May 1995,
The Journal of trauma,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
August 2009,
The Journal of bone and joint surgery. American volume,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
January 2021,
SICOT-J,
G Melcher, and
H Bereiter, and
A Leutenegger, and
T Rüedi
May 1978,
Helvetica chirurgica acta,
