The Use of Modified Ollier Approach and Structural Allograft for Fixation of Intra-articular Calcaneal Fractures

Abstract

We describe the combination of an Ollier approach and use of a structural allograft, for displaced intra-articular calcaneal fractures, that minimizes soft issue complications known to plague such fractures. The soft tissue envelope around the fracture fragments is maintained, facilitating fracture reduction. The mini-open incision is positioned such that critical elements of the subtalar joint are adequately visualized throughout the reduction and fixation. We have used this procedure for all grades of Sanders intra-articular fractures with no significant short-term complications thus far. Level of Evidence: Diagnostic Level V—Expert opinion. See Instructions for Authors for a complete description of levels of evidence.