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The Journal of Bone and Joint Surgery 82:225-50 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - Displaced Intra-Articular Fractures of the Calcaneus*

ROY SANDERS, M.D.{dagger}, TAMPA, FLORIDA


   Introduction
 
Most calcaneal fractures occur in male industrial workers, making the economic importance of this injury substantial. Many authors have reported that patients may be totally incapacitated for as long as three years and partially impaired for as long as five years after the injury1,11,39,73,94,133. Although modern operative intervention has improved the outcome in many patients, there still is no real consensus on classification, treatment, operative technique, or postoperative management. In this article, the current thinking regarding the treatment of these very difficult fractures will be reviewed.


   Historical Treatment
 
As early as 1908, Cotton and Wilson suggested that open reduction of a calcaneal fracture was contra-indicated27. McLaughlin agreed, likening attempts at operative fixation to the "nailing of a custard pie to the wall."76 Cotton and Wilson recommended closed treatment with use of a medially placed sandbag, a laterally placed felt pad, and a hammer to reduce the lateral wall and "reimpact" . . . [Full Text of this Article]


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