Displaced intra-articular fractures of the calcaneum: what is new?

Abstract

The management of displaced intra-articular fractures of the calcaneum remains a contentious subject. Recent advances in the understanding of fracture anatomy have emphasized the fact that not all fractures are the same and therefore different management options should be considered for different patients. This review endeavours to highlight new developments in the assessment of the patient and his fracture and discusses new techniques for the operative management of some injuries. There is also considerable debate on how outcome should be assessed and the role of gait analysis and pedobarography is discussed. Undoubtedly some patients with a displaced intra-articular fracture of the calcaneum will benefit from a surgical procedure the skill, as always, is in deciding which fracture requires which treatment.