1. Calcaneal Fractures Bob Handley 2008

2. The heel bone What is it like? Where does it break? Can I mend it? Should I mend it?

11. Short bone or long bone?

18. a b c

20. Aoccdrnig to rscheearch at Cmabrigde uinervtisy, it deosn't mttaer waht oredr the ltteers in a wrod are, the olny iprmoetnt tihng is taht the frist and lsat ltteres are at the rghit pclae. The rset can be a tatol mses and you can sitll raed it wouthit a porbelm. Tihs is bcuseae we do not raed ervey lteter by it slef but the wrod as a wlohe.

27. Assessing reduction Vision Image Feel Arthroscopy Post-operative CT Intra-operative CT

35. Primary fusion

36. Evidence or principle? The opposite of faith is certainty

37. A case 59 yr old labourer Fall from ladder at work Intact skin, no NV deficit 2-pack-a day smoker, mild hypertension Isolated injury

41. Evidence or principle? Faith or certainty?

42. Factors for Operation Fit Under 60 yrs old Bohler’s angle >0 o Type II/III Factors against Operation Smoker, HT Over 29 yrs old Most of post facet intact Heavy duty work ? Secondary gain

43. Summary Work in three dimensions Surgery is therapeutic not exploratory Treat the whole bone Multiple reduction checks I treat on principle, tempered by evidence