This case study presents a successful treatment of a pediatric calcaneal fracture using a subtalar arthroscopy-assisted percutaneous approach. The patient achieved full function and fracture union without complications, highlighting the effectiveness of this minimally invasive technique.
Background
Pediatric calcaneal fractures are rare but can result from high-energy trauma, often requiring surgical intervention. Traditional open reduction methods carry risks of complications such as wound issues and soft tissue damage. Minimally invasive techniques, such as arthroscopy-assisted approaches, may offer safer alternatives with improved outcomes.
Data Highlights
The patient achieved fracture union by 2 months and an AOFAS score of 95 at 3 months post-surgery.
Key Findings
A 13-year-old girl with a comminuted intra-articular calcaneal fracture was treated with subtalar arthroscopy-assisted percutaneous fixation.
The procedure involved direct visualization and reduction of the depressed posterior facet, followed by fixation with Kirschner wires.
The operative time for the minimally invasive procedure was 115 minutes.
The patient experienced no complications and regained full function by 3 months.
This approach minimizes soft tissue damage and enhances recovery compared to traditional open reduction techniques.
Clinical Implications
The subtalar arthroscopy-assisted percutaneous fixation technique is a viable option for selected pediatric calcaneal fractures, offering benefits such as reduced recovery time and lower complication rates. Clinicians should consider this approach for appropriate cases to improve patient outcomes.
Conclusion
Subtalar arthroscopy-assisted percutaneous fixation is an effective and safe method for treating pediatric calcaneal fractures, providing excellent results with minimal invasiveness.
