Comminuted fracture of the os calcis frequently leads to prolonged disability. To prevent this, the reduction of the fracture must be accurate. The technique here illustrated involves the temporary insertion of a Steinmann nail into the part of the os calcis attached to the achilles tendon. This permits the application of tractions and thrusts in a way that elevates the depressed central articular fragment into its original position, restores the normal relation of os calcis to talus, and reduces the transverse spread of the fragments of the os calcis. After the cast has been applied, with the patient still under anesthesia, the nail is removed, and a program of postreductive treatment is carefully followed. Twenty-two patients so treated regained full motion of foot and ankle and have excellent function without dependence on any orthopedic appliances or other aids.
Zeiss CR. TREATMENT FOR COMMINUTED FRACTURES OF THE OS CALCIS. JAMA. 1959;169(8):792–794. doi:10.1001/jama.1959.03000250010004
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