Our treatment for the fracturs of the calcaneus

We have tried manual reduction as the first choice in the treatment of the fractures of the calcaneus. If good reduction cannot be achieved by this method, we reduce the joint surface using the Westhues' method. Then K-wires are used for internal fixation. At two weeks postoperatively the patient is allowed to walk with PTB cast (modified Graffiin's cast). The clinical follow-up 14 patients was obtained. The clinical results were as follows: three excellent, cases (15 percent) eight very good cases (40 percent), one fair case (0.5 percent) and no poor case. This manual reduction is recommended for the initial treatment of the fractures of the calcaneus.