Minimally Invasive ORIF of Calcaneal Fractures

  • Juha Jaakkola
  • James B. Carr


Calcaneal fracture fixation can be performed using multiple approaches, methods, and implants. There is no consensus regarding the best approach or method of fixation. Moreover, the end result of calcaneal fractures is unsatisfactory in many cases. Some authors have questioned the necessity of operative intervention, arguing that the risk of surgery may not exceed the benefit it may provide.1 A procedure that reduces the risk while still providing a benefit over nonoperative treatment would appear to be a reasonable compromise.

Described approaches include use of a lateral approach (Kocher approach2–5 or extensile lateral6–12), a medial approach,13–16 and a medial and lateral combined approach.17–19 The extensile lateral approach is currently popular because it provides excellent exposure to the calcaneus, minimizes peroneal tendonitis, and preserves the sural nerve.7,20 However, an association with an elevated rate of soft tissue complications, that include amputation, have raised concerns.6,8,21


Calcaneal Fracture Peroneal Tendon Soft Tissue Complication Soft Tissue Flap Tuberosity Fragment 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Southeastern Orthopedic CenterSavannahUSA
  2. 2.SavannahUSA

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