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Minimally Invasive ORIF of Calcaneal Fractures

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Minimally Invasive Surgery in Orthopedics

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Abstract

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

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Authors and Affiliations

  1. Southeastern Orthopedic Center, 210 East DeRenne Avenue, Savannah, GA, 31405, USA

    Juha Jaakkola (Staff Physician) & James B. Carr

  2. Mailing 101 Washington Avenue, Savannah, GA, 31405, USA

    Juha Jaakkola (Staff Physician)

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  1. Juha Jaakkola
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  2. James B. Carr
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Correspondence to Juha Jaakkola .

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Editors and Affiliations

  1. Insall Scott Kelly Institute, East 64th St. 210, New York, 10021, U.S.A.

    Giles R. Scuderi

  2. Orthopaedic Center of New Jersey, Route 27 1527, Somerset, 08873, U.S.A.

    Alfred J. Tria

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Jaakkola, J., Carr, J.B. (2010). Minimally Invasive ORIF of Calcaneal Fractures. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76608-9_58

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  • DOI: https://doi.org/10.1007/978-0-387-76608-9_58

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