Arthroscopic treatment of intraarticular calcaneous fractures: case report and literature review

Abstract

The treatment of intra-articular calcaneal fractures has extensive report in the literature and the gold standard is open reduction and internal fixation of deviated intra-articular fratures. The concern after open reduction and internal fixation is the development of skin necrosis, hematoma and infection. Percutaneous treatment assisted by arthroscopy for intra-articular fractures was developed to ensure anatomical reduction of the fragments with minimal manipulation of the soft tissues. The objective of this study was to demonstrate the use of percutaneous technique assisted by arthroscopy in treating a patient victim of intra-articular fracture of the calcaneus Sanders type IIA, and to present a literature review. The da American Orthopaedic Foot and Ankle Society hindfoot score postoperatively at 6 months was 90 points and at the 9th months was 96 points. There were no complications related to the treatment and all radiological parameters were restored. Percutaneous treatment of intra-articular fractures of the calcaneus assited with arthroscopic reduction, in well-selected patients, is an effective treatment and leads to good postoperative results with low complication rates.