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Open Reduction and Internal Fixation of Calcaneal Fractures—The 3-Plates Technique

Walcher, Matthias G. MD; Horisberger, Monika MD; Frigg, Arno MD; Pagenstert, Geert I. MD; Regazzoni, Pietro MD; Valderrabano, Victor MD, PhD

Techniques in Foot & Ankle Surgery: June 2011 - Volume 10 - Issue 2 - p 82–86
doi: 10.1097/BTF.0b013e31821a2c05

Calcaneal fractures are associated with a high rate of complications, such as subtalar osteoarthritis, hind foot varus malalignment, heel shortening and widening, ventral ankle impingement, and soft tissue complications. To achieve stable fixation and to reduce these complications, a special open reduction and internal fixation technique has been developed. The individual frame-like arrangement of 3 angular stable low-profile plates takes the calcaneal anatomy into account and allows stable fixation in the cortical and subchondral bone. Therefore, the purpose of this study is to describe this new technique in detail and report the preliminary results.

Department of Orthopedic Surgery, University of Basel, Basel, Switzerland

The authors declare no conflicts of interest.

Address correspondence and reprint requests to Victor Valderrabano, MD, PhD, Department of Orthopedic Surgery, University of Basel, Spitalstr. 21, CH-4031 Basel, Switzerland. e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.