Abstract
The calcaneus is the most commonly fractured tarsal bone. The degree of intraarticular involvement is assessed byusing both plain radiographs and computed tomography scans. Patient swelling is reduced as soon as possible after the injury by the use of a bulky dressing and a plaster splint or an external compression pump. A lateral approach is used to expose the fracture with the creation of an osteocutaneous flap. Articular surfaces are reduced initially followed by reestablishment of normal heel height and width. The fracture fragments are temporarily held in place with Kirshner wires. Subarticular screws are used for initial reduction and support of the posterior and middle facets. The lateral wall is stabilized to the body of the calcaneus with a lateral plate and screws. A double–layered closure technique is used to prevent wound dehiscence. Solid fixation allows for early postoperative range of motion.
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