Novel minimally invasive reduction technique for intra-artic
Treatment of displaced intra-articular fractures of the calcaneus remains a challenge for the orthopaedic surgeon. Conservative therapy is known to produce functional impairment. Surgical approach is plagued by soft-tissue complications and insufficient fracture reduction.

Published in the journal Orthopaedics Case Reports, the authors describe a minimally invasive technique with their first experience through two cases.

The first was a 46-year-old man who presented with a Sanders type IIBC calcaneal fracture, and the second was an 86-year-old woman with a type IIIBC calcaneal fracture. 2 Schanz screws were introduced in the talus and the calcaneus. After distraction, we introduced an inflatable balloon inside the calcaneus. By inflating the balloon, the articular surface was reduced by lifting it up.

Then bone cement was injected in order to maintain the reduction. Additional screw fixation was used in the young patient. Postoperative imaging demonstrated good congruence of the subtalar joint without leakage of cement, for the two cases.

After 2 months, the patients had no pain and were without soft-tissue complications.

Major takeaway:-
The authors advocate this technique to perform a minimally invasive reduction and fixation of intra-articular calcaneal fractures because it preserves soft-tissues and provides good clinical results with early weight-bearing.

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