Case Report: Arthroscopic minimally invasive treatment of pediatric calcaneal fracture
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By
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Li Zhiye
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Wang Ye
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Ren Zhaohui
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Lv Guangren
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June 11, 2026
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Clinical Scorecard: Case Study: Minimally Invasive Arthroscopic Approach for Treating Pediatric Calcaneal Fractures
At a Glance
| Category | Detail |
|---|
| Condition | Pediatric calcaneal fractures |
| Key Mechanisms | Subtalar arthroscopy-assisted percutaneous reduction and internal fixation |
| Target Population | Children aged 11-15 years with calcaneal fractures |
| Care Setting | Hospital setting, Department of Bone and Joint Rehabilitation |
Key Highlights
- Minimally invasive technique reduces risks associated with traditional open reduction
- Successful treatment of a comminuted intra-articular calcaneal fracture
- Fracture union achieved by 2 months with full function at 3 months
- No postoperative complications observed
- AOFAS score of 95 at 3-month follow-up
Guideline-Based Recommendations
Diagnosis
- Use of radiographs and non-contrast CT for fracture assessment
Management
- Subtalar arthroscopy for anatomical reduction and fixation
Monitoring & Follow-up
- Follow-up evaluations at 1, 2, and 3 months postoperatively
Risks
- Traditional open reduction carries risks of wound complications and soft tissue damage
Patient & Prescribing Data
A 13-year-old girl with a comminuted calcaneal fracture
Percutaneous fixation with Kirschner wires following arthroscopy
Clinical Best Practices
- Utilize minimally invasive techniques for selected pediatric calcaneal fractures
- Ensure thorough imaging for accurate diagnosis
- Implement early rehabilitation interventions post-surgery
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