Case for small group discussion Calcaneal fracture Case for small group discussion AOTrauma—Foot & Ankle Module 3: Minimally invasive osteosynthesis Stefan Rammelt, DE

Case description 76-year-old woman 3 days post injury

IOL: Talarcalcaneal interosseous ligament

Postoperative images

Functional result at 3 years

Take-home messages Percutaneous fixation for simple fractures, critical conditions Minimal soft-tissue damage Anatomical joint reduction with arthroscopic control (Sanders Type II A+B) or 3-D fluoroscopy Restoration of hindfoot shape Surgery within 7 days Excellent results with proper patient selection Consider subtalar arthroscopy for accurate reduction

References Rammelt et al. Foot Ankle Int. 2002;23:906–916. Rammelt et al. Clin Orthop Relat Res. 2010;468:983–990. References: Rammelt S, Gavlik JM, Barthel S, et al. The value of subtalar arthroscopy in the management of intra-articular calcaneus fractures. Foot Ankle Int. 2002 Oct;23(10):906–916. Rammelt S, Amlang M, Barthel S, et al. Percutaneous treatment of less severe intraarticular calcaneal fractures. Clin Orthop Relat Res. 2010 Apr;468(4):983–990.