A Screw Fixation Technique for Calcaneus Fractures: Simplifying Three-dimensional Thinking and Minimal Invasive Surgery

Calcaneus fractures are usually seen in the same pattern of injury, which is characterized by 4 fracture fragments and causes 4 deformities. This article aims to provide a comprehensive guide for the minimal invasive screw fixation method using minimal invasive sinus tarsi incision for calcaneus fractures. The importance of three-dimensional thinking in understanding fracture patterns is emphasized, with suggestions for utilizing computerized tomography scans. The step-by-step surgical procedure is outlined, including reduction maneuvers, fluoroscopic control, and 4 essential x-ray views for accurate assessment. Therefore, it is aimed to identify the proper screw placements for the typical calcaneus fracture fragments. The article concludes by summarizing the presented surgical steps, emphasizing the simplicity and reproducibility of the techniques, and emphasizing the crucial role of three-dimensional thinking in managing calcaneus fractures. Level of Evidence: Level 4, expert opinion.