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A modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus. Mid-term results and review of the literature

  • Original Article
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European Orthopaedics and Traumatology



The goal of therapy for calcaneal fractures is elimination of pain and restoration of normal foot shape and walking ability. The occurrence of wound complications is a serious concern in treating calcaneal fractures.


The purpose of the present study was to describe and evaluate the mid-term results of a modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus.

Materials and methods

Fifty-two patients with 61 closed, intra-articular fractures of the calcaneus were enrolled in a prospective cohort study. They were treated with a minimally invasive technique combining a limited lateral approach and percutaneous screws. Clinical and radiographic data were analyzed. The minimum follow-up period was 2 years.


Combining the anatomical and functional results, an overall rating of good, fair, and poor was assigned to each fracture. The results were good in 51 feet (83.6 %), fair in 6 feet, and poor in 4 feet.


The results of the current study were comparable to the results achieved using other minimally invasive techniques while avoiding the serious soft tissue complications encountered with open surgery. Thus, the described technique seems to be an effective and safe alternative for intra-articular calcaneal fracture fixation.

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All authors involved in this study declare no conflict of interest.

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Correspondence to Ashraf Anbar.

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Gomaa, M.A., El Naggar, A. & Anbar, A. A modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus. Mid-term results and review of the literature. Eur Orthop Traumatol 6, 305–313 (2015).

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