Published: 2018-12-25

Evaluation of results of minimally invasive per cutaneous surgeries in management of calcaneal fractures

Kushal Nikhil Parikh, Nirav Moradiya, Shalin Shah, Ankit Khodifad



Background: To analyze the outcome percutaneous surgeries in fractures of the calcaneum.

Methods: 20 patients admitted in a tertiary care center in Ahmedabad were followed up from admission to until 2 years post operatively and functional outcomes in them following operative intervention were analyzed using AOFAS and Maryland scoring system.

Results: Majority of patients have excellent or good outcome following percutaneous surgery in fractures of the calcaneum. The results were evaluated for 22 people with intraarticular calcaneum fractures using the Maryland foot score and AOFAS score. The mean AOFAS score was 86. There were 6 excellent, 12 good and 4 fair results.

Conclusions: Percutaneous fixation in fractures of the calcaneum is a middle path in treatment of calcaneum fracture having the benefit of better reduction of ORIF plating and lesser soft tissue injury or chances of infection of conservative management.


Calcaneum, ST pin, Percutaneous fixation calcaneum, Intraarticular calcaneum

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Slatis PK, Kiviluoto O, Santavirta S. Fractures of the calcaneum. J Trauma. 1979;19:939-44.

Aaron DA. Intraarticular fractures of the calcaneum. J Bone Joint Surg. 1974;56:567.

Schofield RO. Fractures of the OsCalcis. J Bone Joint Surg. 1936;18:566-80.

Nambiar MR, Umesh SN, Kamath KR. Percutaneous pin fixation of calcaneal fractures. J OrthopAssoc South Ind. 2004;1:64-7.

Parmar HV, Triffitt PD, Gregg PJ. Intra-articular fractures of the calcaneum treated operatively or conservatively. A prospective study. J Bone Joint Surg. 1993;75(6):932-7.

Buckley R, Tough S, McCormack R, Pate G. Operative compared with non-operative treatment of displaced intra-articular calcaneum fractures. J Bone Joint Surg. 1996;78:119-23.

Pozo JL, Kirwan EO, Jackson AM. The long-term results of conservative management of severely displaced fractures of the calcaneus. J Bone Joint Surg. 1984;66(3):386-90.

Paley D, Hall H. Intra-articular fractures of the calcaneum: A critical analysis of results and prognostic factors. J Bone Joint Surg. 1993;75(3):342-54.

Sanders. Displaced I/A fractures of the calcaneus. JBJS Am. 2000;82:225-50.

Aarvey EJ, Grujic L, Early JS, Benirschke SK, Sangeorzan BJ. Morbidity associated with ORIF of intra-articular calcaneus fractures using lateral approach. Foot Ankle Int. 2001;22:868-73.

Koberle G, Oliveira AC, Sandoval PS. Fraturas intra-articulares do calcaneo. Rev Bras Ortop. 1996;31:477-80.

Hildebrand KA, Buckley RE. Functional outcome measures after displaced intra-articular calcaneum fractures. J Bone Joint Surg. 1996;78:119-23.

Eastwood DM, Gregg PJ, Atkins RM. Intra-articular fractures of the calcaneum. Part I: Pathological anatomy and classification. J Bone Joint Surg. 1993;75(2):183-8.

Moraes Filho DC, Provenzano E, Mattos JR, Batista LC, Galbiatti JA, Ferreira JCD, et al. Avaliacaopreliminar do tratamentocirurgico de fraturasinta-articulares do calcaneo. Rev Bras Ortop. 1998;3:511-8.

Leung KS, Yuen KM, Chan WS. Operative treatment of displaced intra-articular fractures of the calcaneum: medium-term results. JBJS Br. 1993;75:196-201.

Kennedy JG, Jan WM McGuinness AJ, Barry K, Curtin J, Cashman WF et al. An outcomes assessment of intra-articular calcaneal fractures, using patient and physicians assessment profiles. Injury. 2003;34:932-6.

Levine DS, Helfet DL. An introduction to the minimally invasive osteosynthesis of intra-articular calcaneal fractures. Injury. 2001;32:51-4.

Thermann H, Krettek C, Hüfner T, Schratt HE, Albrecht K, Tscherne H. Management of Calcaneal Fractures in Adults: Conservative Versus Operative Treatment. Clin Orthop Rel Res. 1998;353:107-24.

O'Farrell DA, O'Byrne JM, McCabe JP, Stephens MM. Fractures of the os calcis: improved results with internal fixation. Injury. 1993;24(4):263-5.

Poupa J, Pribyl J. Surgical results of the Essex Lopresti method in calcaneum fractures. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca. 1971;38(1):23-5.

Tornetta III P. Percutaneous treatment of calcaneal fractures. Clinl Orthop Related Res. 2000;375:91-6.

Brijs S, Brijs A. Calcaneal avulsion: a frequent traumatic foot lesion. InRöFo-Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren 1992;156(5):495-6.

Norfray JF, Rogers LF, Adamo GP, Groves HC, Heiser WJ. Common calcaneal avulsion fracture. American J Roentgenol. 1980;134(1):119-23.

Degan TJ, Morrey BF, Braun DP. Surgical excision for anterior-process fractures of the calcaneus. J Bone Joint Surg. 1982;64(4):519-24.