Rebuilding a Shattered Heel Bone: Step-By-Step Surgical Animation

Calcaneal fracture fixation through the sinus tarsi approach, step by step in 3D. Learn the constant fragment, the reduction order, the structures at risk, and the four fluoroscopy checks. Chapters 0:00 Hook 0:10 Learning objectives 0:25 Indications and contraindications 0:47 Anatomy 1:38 Setup 2:31 Incision planning 2:55 Step 1: Open the window 3:23 Step 2: Find the anchor 3:52 Step 3: Reduce the tuberosity 4:34 Step 4: Lift the joint 5:07 Step 5: Restore the width 5:32 Step 6: Raft and plate 6:01 Step 7: Place axial screws 6:30 Final checks 7:04 Closure 7:24 Post-op 7:52 Complications 8:17 Recap: 5 pearls References 1. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures: results using a prognostic computed tomography scan classification. Clin Orthop Relat Res. 1993;(290):87-95. 2. Buckley R, Tough S, McCormack R, et al. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2002;84(10):1733-1744. 3. Schepers T. The sinus tarsi approach in displaced intra-articular calcaneal fractures: a systematic review. Int Orthop. 2011;35(5):697-703. 4. Kline AJ, et al. Minimally invasive technique versus an extensile lateral approach for intra-articular calcaneal fractures. Foot Ankle Int. 2013;34(6):773-780. 5. AO Surgery Reference. Sinus tarsi approach to the calcaneus. AO Foundation. https://surgeryreference.aofoundation... For education only.