Morbidity associated with ORIF of intra-articular calcaneus fractures using a lateral approach

Edward J. Harvey, Leslie Grujic, John S. Early, Stephen K. Benirschke, B. J. Sangeorzan

Research output: Contribution to journalReview articlepeer-review

155 Citations (Scopus)


This is a review of 183 patients with 218 displaced intra-articular fractures of the calcaneus treated by open reduction and internal fixation. One hundred and ninety four (89%) wounds underwent primary uneventful healing. Twenty-four wounds (11%) required local wound care. One deep infection occurred in a neuropathic foot that required below-knee amputation. No free-tissue transfers, local tissue flaps or skin grafts were needed in patients who presented initially with a closed fracture. Ninety-five fractures (43.5%) required subsequent surgical procedures (hardware removal - 88/95 [93% of secondary procedures]). Six patients (2.8%) had postoperative sural nerve findings. Seventeen procedures other than hardware removal were performed. There were five subtalar fusions including two subtalar distraction bone-block arthrodeses. There were seven claw toe correction procedures, four calcaneal valgus osteotomies for varus malunions and one subtalar arthrolysis at the time of hardware removal. These results suggest internal fixation of displaced intra-articular calcaneus fractures using a single lateral approach is a safe, reliable method of treatment.

Original languageEnglish
Pages (from-to)868-873
Number of pages6
JournalFoot and Ankle International
Issue number11
Publication statusPublished - 2001
Externally publishedYes


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