International Orthopaedics

, Volume 43, Issue 12, pp 2839–2847 | Cite as

Three-dimensional computed tomography analysis and functional results of calcaneal fractures treated by an intramedullary nail

  • Antoine Fourgeaux
  • John Estens
  • Thierry Fabre
  • Olivier Laffenetre
  • Julien Lucas y HernandezEmail author
Original Paper



Intramedullary calcaneal nailing is used to treat displaced intra-articular calcaneal fractures.

The main goal of the study was to assess the reduction of tomography and secondary goals were patient functional scores and complication rates.


The functional outcome and restoration of the radiographic parameters were evaluated post-operatively, at three months, at one year, and at the last follow-up. The morphology of the posterior facet was evaluated post-operatively, at one year and at the last follow-up by CTs.


Twenty-six patients were included. The mean follow-up was 2.8 years. The mean AOFAS-AHS was 79 at the last follow-up. The mean calcaneal height index and length rose respectively from 0.44 to 0.86 and 83 to 87 mm, and the width decreased from 50 to 46 mm.


The radiographic parameters were restored. The AOFAS-AHS was comparable with other series. This study confirms the efficiency of this procedure with lower rate of complications.


Calcaneus fracture Internal fixation Articular fracture Locking nail Closed reduction Operative procedure 


Compliance with ethical standards

Conflict of interest

Dr. Fourgeaux, Dr. Estens, Pr Fabre, and Dr. Laffenetre declare that they have no conflict of interest.

Dr. Lucas y Hernandez reports consultancy for FH orthopedics during the conduct of the study.


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Copyright information

© SICOT aisbl 2019

Authors and Affiliations

  1. 1.Bordeaux Hospital UniversityBordeaux cedexFrance
  2. 2.The Maitland HospitalMaitlandAustralia
  3. 3.Lake Macquarie Private HospitalsGatesheadAustralia
  4. 4.Blomet clinicParisFrance

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