DOI: 10.36347/sjams.2019.v07i11.043

Pages: 3699-3703

The fracture of the calcaneus is a fracture with high energy intra or extra-articular. because of its complexity, associated lesions, difficult treatment and the high rate of possible complications, this lesion remains one of the most great challenges of the orthopedic surgeon and traumatologist. We operated our patients according nail removal technique. The technique was used in 13 calcaneus articular fractures in an average age of 35 years (17-61 years). The fracture was classified as vertical in five cases horizontal in three cases and mixed in five cases. The average initial Böhler angle was -4◦ (-42-26◦). We performed the technique of raising closed nail nailing under fluoroscopic control: patient installed in left lateral decubitus, under rachianesthesia. Reduction and percutaneous osteosynthesis with 2 Steinmann nails raising the thalamic surface and restoring the Bohler angle. Complete surgical treatment with plaster immobilization for 6 weeks. The Operative Suites were simple; removal of plaster and nails from Steinmann at 6 weeks, and re-education was undertaken. Partial support was allowed at 8 weeks, total support at 3 months. The functional result was good with a decline of 12 months.