Abstract
On the basis of 1 to 20 years of observation of 146 patients with 154 fractures of the os calcis, five types of fracture are described. In the three simpler types (68 cases) conservative treatment never failed. In Type 4 (38 fractures extending into the subtalar joint), the over-all treatment failed completely in 27%, closed treatment gave good or excellent results in 50%. In Type 5 (48 complete comminuted fractures with central depression), though they appeared more severe, there were failures in only 15%, with good or excellent results in 50%. The authors recommend that Type 4 fractures be reduced accurately and by open reduction if necessary. Type 5 may best be treated by hand molding, supportive bandages, and early mobilization.
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