Management of Displaced Intra-articular Calcaneal Fracture.
10.14193/jkfas.2015.19.4.137
- Author:
Jun Young LEE
1
;
Woong Chae NA
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea. leejy88@chosun.ac.kr
- Publication Type:Review
- Keywords:
Calcaneal fracture;
Conservative treatment;
Open reduction and internal fixation
- MeSH:
Analgesics;
Early Ambulation;
Leg;
Splints
- From:Journal of Korean Foot and Ankle Society
2015;19(4):137-141
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, open reduction and internal fixation has been the treatment of choice for displaced intra-articular calcaneal fractures for many orthopaedic surgeons. However controversy still surrounds the optimal treatment with regard to whether displaced intra-articular calcaneal fractures should be treated operatively or conservatively. Conservative treatments include use of splint, rest, leg elevation, icing, use of analgesics and early mobilization. Operative treatment is open reduction and internal fixation, performed through an extensile lateral approach with interfragmentary screws and application of a neutralization plate. We reviewed the question of whether operative treatment by open reduction and internal fixation provides a benefit compared with conservative treatment for displaced intra-articular calcaneal fractures.
