Abstract
The calcaneus is the most commonly fractured tarsal bone accounting for 1–2% of all fractures [5,6]. It is now generally accepted that all intra-articular fractures with significant displacement (1–2 mm) should undergo operative management with internal fixation in the absence of local or systemic contra-indications [9,11,13]. Superior radiological and good to excellent functional results being achieved in three quarters of cases with open reduction and internal fixation (ORIF), with restoration of calcaneal anatomy [5,6,9]. Complications of operative treatment have an overall incidence of 16.5% and more commonly include wound edge necrosis, wound haematoma, superficial and deep infection and sural nerve injury [5,9,13]. Arthritis at the subtalar and calcaneocuboid joint and malunion can occur but are more common following conservative management [6,7,10]. Non-union following both conservative and operative treatment is rare [9,12], with only one case reported (0.4%) by Zwipp et al. after ORIF [13].
Published Version
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