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Case Report| Volume 28, ISSUE 2, P499-502, March 2023

Two-portal posterior arthroscopic reduction with percutaneous fixation for intra-articular calcaneal fracture in an 11-year-old boy: A case report

Published:August 17, 2020DOI:https://doi.org/10.1016/j.jos.2020.07.010
      The treatment strategy of displaced intra-articular calcaneal fracture has been controversial. However, most surgeons agree on the surgical intervention for the case sustaining incongruity of the subtalar joint in order to obtain better outcomes [
      • Buckley R.E.
      • Tougb S.
      Displaced intra-articular calcaneal fracture.
      ,
      • Epstein N.
      • Chandran S.
      • Chou L.
      Current concept: intra-articular fractures of the calcaneus.
      ]. Traditionally, accurate reduction of the subtalar joint requires an invasive approach through the thin, vulnerable skin which overlays the lateral calcaneal wall, and such conditions are frequently accompanied by a higher incidence of wound complications [
      • Buckley R.E.
      • Tougb S.
      Displaced intra-articular calcaneal fracture.
      ,
      • Epstein N.
      • Chandran S.
      • Chou L.
      Current concept: intra-articular fractures of the calcaneus.
      ]. Less invasive closed reduction of the posterior facet under fluoroscopic assistance is one method which can avoid wound complication. However, it lacks the accuracy to acceptably restore the position of the posterior facet. Recently, a few studies which have applied subtalar arthroscopy via two or three lateral portals for reduction of the posterior facet have achieved a less invasive restoration with good prognosis [
      • Gavlik J.M.
      • Rammelt S.
      • Zwipp H.
      The use of subtalar arthroscopy in open reduction and internal fixation of intra-articular calcaneal fracture.
      ,
      • Gavlik J.M.
      • Rammelt S.
      • Zwipp H.
      Percutaneous, arthroscopically-assisted osteosynthesis of calcaneus fractures.
      ,
      • Rammelt S.
      • Amlang M.
      • Barthel S.
      • Gavlik J.M.
      • Zwipp H.
      Percutaneous treatment of less severe intraarticular calcaneal fractures.
      ,
      • Schuberth J.M.
      • Cobb M.D.
      • Talarico R.H.
      Minimally invasive arthroscopic-assisted reduction with percutaneous fixation in the management of intra-articular calcaneal fractures: a review of 24 cases.
      ,
      • Woon C.Y.
      • Chong K.W.
      • Yeo W.
      • Eng-Meng Yeo N.
      • Wong M.K.
      Subtalar arthroscopy and fluroscopy in percutaneous fixation of intra-articular calcaneal fractures: the best of both worlds.
      ].
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