Randomized trial demonstrates effective outcomes in patients with calcaneal fractures using a new surgical approach, indicating less damage to surrounding tissues.
Comminuted calcaneal fractures are associated with severe debilitation, a high degree of morbidity, and disability. Typical surgical approaches for comminuted calcaneal fractures include the open lateral extensile and sinus tarsi incision. Both incisions can cause varying degrees of soft tissue damage that can be further magnified in high-risk patients. Recent studies have shown that it is beneficial to perform minimally invasive treatment of comminuted calcaneal fractures. The aim of this study was to introduce a stepwise surgical algorithm for the treatment of comminuted calcaneal fractures using a minimally invasive approach with staged open reduction and internal fixation. We presented the outcomes of 3 patients who have undergone this technique. Our study exhibited satisfactory anatomic reduction of calcaneal fracture with the use of external fixation, with patients progressing to weight-bearing without major complications. Level of Evidence: Level 4
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John et al. (2026) studied this question.
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