Foot & Ankle International - September 2019 - 1066

1066

Foot & Ankle International 40(9)

Figure 6. Note on this preoperative axial CT scan image
that there is minimal medial comminution, making this
fracture pattern ideal for the described approach. (A) The
postoperative radiograph is following utilization of the
medial approach and push-pull technique, which acts as an
antiglide technique along the medial side. (B) This connects
the superomedial fragment to the tuberosity, reestablishing
calcaneal length and height.

Conclusion
We found that a 2-incision approach was safe and useful to
achieve anatomic restoration of displaced, intra-articular
calcaneus fractures. Due to predictably good fracture reductions and a low complication rate, this technique has become
the preferred method for our practice in treating calcaneus
fractures without significantly comminuted medial walls.
Larger studies are needed, however, to more effectively
compare this approach with the extensile lateral approach
and the other minimally invasive approaches.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with
respect to the research, authorship, and/or publication of this article. ICMJE forms for all authors are available online.

Funding
The author(s) received no financial support for the research,
authorship, and/or publication of this article.

ORCID iD
Snow B. Daws, MD,

https://orcid.org/0000-0003-1190-6054

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Foot & Ankle International - September 2019

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