Transarticular fracture of the calcaneus. A technical note.

A detailed description of an extensile posterolateral approach for open reduction, grafting, and internal fixation of articular calcaneal fractures is presented. The graft is obtained through the same incision from the distal tibia. Internal lag screw fixation is combined with percutaneous axial pinning. Guidelines for prophylaxis of iatrogenic soft tissue complications are briefly discussed.