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June 1966

Fractures of the Os Calcis

Author Affiliations

From the Section of Orthopedic Surgery, Mayo Clinic and Mayo Foundation, Rochester.

Arch Surg. 1966;92(6):848-852. doi:10.1001/archsurg.1966.01320240036007

NO FRACTURE has more potential for creating physical impairment than that of the os calcis. Many forms of treatment have been suggested, but doubt still exists as to which is the most efficient and most successful. Previously used treatments have varied from control of edema, immobilization without reduction, and early weight bearing (Barnard1 and Barnard and Odegard2) to excision of the fractured os calcis (Pridie3). Surgical management has varied from primary arthrodesis of the subtalar joint (Gallie,4 Dick,5 and Hall and Pennal6) to elevation of the depressed central calcaneal fragment of the subtalar joint (Palmer7 and Maxfield and McDermott8) to sensory denervation of the heel (Sallick and Blum9). Excellent reviews of the literature are available in papers by Gellman,10 Schottstaedt,11 Warrick and Bremner,12 Wilson,13 and Thorén.14

In addition to the variety of treatments possible, review of

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