HCA Florida Westside Hospital
Reconstructive Foot and Ankle
Medicine and Health Sciences | Podiatry | Surgery
Minimally invasive surgery (MIS) has gained prominence as a viable approach for the management of calcaneal fractures, offering the potential for reduced soft tissue trauma, enhanced visualization, and expedited recovery. This literature review aims to comprehensively analyze the existing body of research on MIS techniques employed in the repair of calcaneal fractures.
A comprehensive literature review was completed by the authors using Google Scholar, Pubmed, Cochrane Review, and Science Direct using a combination of phrases related to the title of this article that focused on MIS interventions for calcaneal fractures. The review encompassed studies from the last decade, evaluating surgical techniques, clinical outcomes, radiographic assessments, and complications associated with MIS approaches.
The analyzed literature revealed a diverse array of MIS techniques, including percutaneous fixation, arthroscopic-assisted reduction, and minimally invasive plating. These techniques aimed to achieve anatomical reduction, preserve the subtalar joint, and minimize the risk of soft tissue complications often associated with open surgical methods.
Clinical outcomes demonstrated varying degrees of success, with some studies reporting improved functional outcomes and reduced wound-related issues following MIS interventions. However, the literature also highlighted the challenges posed by fracture complexity, surgeon expertise, and the potential for limited visibility in certain cases.
Complications associated with MIS approaches included hardware irritation, malreduction, and postoperative pain, underscoring the need for precise technique execution and thorough patient selection.
In conclusion, MIS techniques for calcaneal fracture repair present a promising avenue in modern orthopedic practice, offering potential advantages in terms of reduced soft tissue trauma and enhanced recovery. However, challenges remain in achieving consistent outcomes across varying fracture patterns and patient populations. Future research endeavors should aim to establish standardized protocols, refine surgical techniques, and conduct comparative studies to ascertain the true benefits and limitations of MIS approaches in calcaneal fracture management.
Modha, Nehal; Patel, Roshni; and Windram, Warren, "MIS Calcaneal Fracture Repair: A Literature Review" (2023). East Florida Research Day 2023. 57.