Abstract
The operative therapy of intraarticular fractures of the calcaneus is now an established surgical standard. The aim is an accurate reduction of the fracture with reconstruction of the Boehler’s angle, the length and the subtalar joint. Intraoperative 3D-fluoroscopy with the Siremobil ISO-C-3D® mobile C-arm radiography system is a valuable assistant for the accurate reconstruction of these anatomical structures. Remaining incongruities can be recognized and corrected intraoperatively. The achieved reduction can be safely fixed by the advantages of an internal fixator (lockedscrew plate interface). In the period from October 2002 until October 2004, we operated 58 patients with intraarticular fractures of the calcaneus by means of anatomical reduction, an internal plate fixator under intraoperative control of 3D-fluoroscopy. In 22 cases the intraoperative 3D-fluoroscopy uncovered remaining incongruity over 1 mm, which could be corrected. The Boehler’s angle was raised on average by 16°. In no case a secondary dislocation of the fracture was seen.
Similar content being viewed by others
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Queitsch, C., Schulz, A.P., Haustedt, N. et al. Improved Therapy of Calcaneal Fractures by Intraoperative 3D-Fluoroscopy and Locked-Screw Plate Fixation. Eur J Trauma 32, 471–476 (2006). https://doi.org/10.1007/s00068-006-5045-1
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00068-006-5045-1