FRACTURES OF THE CALCANEUS .2. TREATMENT

Extra-articular fracture management of the calcaneus is well accepted. Despite advancements, there is still no consensus on the treatment of intra-articular calcaneal fractures, Although the results of open red uction and internal fixation appear promising, evaluation is difficult because there is no universally accepted classification system. We be lieve that a consensus is developing for the evaluation, staging, and treatment of the acute calcaneus fracture and ifs chronic problems. Ad vancements in the understanding of the anatomy, injury mechanism, and classification of calcaneal fractures were presented in Part I (Foot & Ankle International, 17(4):230-235, 1996). Treatment of displaced int ra-articular fractures gives superior results when anatomic reduction of the subtalar joint is achieved.