• Calcaneal fractures are the most common tarsal fractures, Approximately 75% are intra-articular
  • Sanders Classification is used for calcaneum fractures 
  • Traumatic axial loading is the primary mechanism of injury, Fall from height, Motor-vehicle accidents are causes for calcaneal fractures 
  • Displaced intra-articular calcaneal fractures (i.e., ≥2 mm of articular incongruity at the posterior facet or a Bohler angle of <20°), Open fractures, Displaced posterior tuberosity component tenting the skin all need surgical fixation
  • Peripheral vascular disease, Poorly controlled diabetes , Medical comorbidities, History of nicotine use, Poor soft-tissue status, Nonambulatory status etc are relative contraindications 
  • Percutaneous Reduction, Screw Fixation, and Calcium Sulfate Cement Grafting 
  • Operative treatment was associated with a higher risk of complications but a reduced prevalence of posttraumatic arthritis

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