Balloon reduction for the treatment of depressed posterior facet calcaneus fractures
Calcaneal fractures account for 60% of all tarsal fractures, 75% of which are intra-articular. The outcomes of these injuries are improved with joint surface reduction and calcaneal height and alignment restoration. The lateral extensile approach has been the standard approach for open reduction and internal fixation of these fractures. However, current complication rates after open reduction and internal fixation through the lateral approach range from 10% to 20%. These complications include infection, wound problems, nerve injury, and the need for secondary procedures such as hardware removal and tendon debridement. Over the past few years, there has been renewed interest in developing minimally invasive or percutaneous techniques to address these fractures. We describe our technique for minimally invasively addressing calcaneal fractures with the depressed posterior facet using a balloon reduction technique. © 2013 by Lippincott Williams and Wilkins.
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