Open Reduction and Internal Fixation of Displaced Intra-articular Calcaneal Fractures

Abstract

From 1990 to 1998, 26 displaced intra-articular calcaneal fractures were treated operatively using lateral approach fundamentally. Results were evaluated using the Sanders classification with computed tomography and Maxifield clinical evaluation. Good postoperative evaluation results with CT scan, and anatomical reduction were achieved in 85% of these patients. Irrespective of the grades of the Sanders classification, the postoperative evaluation results of the CT scan were more or less satisfactory. The Maxifield clinical evaluation results were excellent in 42%, very good in 58%, fair and poor in 0%. Our clinical evaluation results more or less agreed with postoperative evaluation results by CT scan. We conclude that open reduction and internal fixation are effective in the treatment of displaced intra-articular calcaneal fractures.