Percutaneous Techniques

Abstract

Percutaneous reduction and fixation of calcaneus fractures is an alternative to open treatment. The percutaneous technique allows for the restoration of calcaneal anatomy while mitigating wound complications. Operative treatment utilizing the percutaneous technique should be performed within 2 weeks of injury to allow for adequate mobilization of the fracture fragments during surgery. Preoperative assessment includes assessing patient comorbidities, skin check, and radiographic assessment of the fracture pattern. There is a learning curve for assessing the indirect reduction of the articular surface with intraoperative fluoroscopy. Postoperative care includes edema control and early ankle range of motion.

Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.