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

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

3. IOL: Talarcalcaneal interosseous ligament

4. Postoperative images

5. Functional result at 3 years

6. 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

7. 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 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 Apr;468(4):983–990.