Calcaneus Fractures: A Review of Management, Treatment, and Recent Advances.

J Am Acad Orthop Surg · Mar 15 2026 · Review

Schneiderman BA, Carlson BA, Johnson JP, Elsissy JG

From the Department of Orthopaedic Surgery, Loma Linda University Health, Loma Linda, and California University of…

Foot & Ankle Orthopaedic Trauma

SUMMARY — THE REDUCTIONReview of calcaneus fracture management noting that sinus tarsi and percutaneous approaches allow earlier surgery with fewer complications, with surgical goals of restoring hindfoot morphology and facet congruity.
Abstract, as published

Calcaneus fractures remain challenging fractures that are prone to complications. Surgery was previously restricted only to those with soft-tissue envelopes amenable to the extensile lateral approach. However, with the development of the sinus tarsi approach and other percutaneous techniques, more prompt surgical interventions with lower complication rates have become possible. Restoration of hindfoot morphology and facet congruity are the primary goals of surgery. Complications including posttraumatic subtalar arthritis, infection, wound dehiscence, and malunion can be minimized with deliberate treatment decisions.

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