Method for manual reduction of displaced intra-articular fracture of the calcaneus: technique, indications and limitations.

One hundred and two cases of displaced intra-articular fractures of the calcaneus were treated using this method for manual reduction. All but three were treated within three days of injury. The average follow-up was seven years and three months (range three to 14 years). Patients' ages ranged from 21 to 76 years. Results were assessed by clinical outcome as well as roentgenographic appearance. Successful reductions were obtained in 92 cases. In the remaining 10 cases, the reduction was felt to be unsatisfactory and either percutaneous pinning or open reduction internal fixation was performed. In most cases fractures were reduced and treated successfully using this method of manual reduction. The use of this method does not preclude any further treatment options, and we therefore feel this method is the treatment of choice.