A technique of dynamic reduction for displaced fractures of the thalamus of the calcaneum.

A new technique of reduction based on the anatomical structure of the calcaneum was first described in 1974. Two pins were inserted, one into the posterior surface and the other into the plantar surface of the bone. This allowed early mobilisation of the foot. The method can be used in all types of fractures including comminuted fractures of the tuberosity, the tongue type, the central depression type, the severe tongue type, the severe depression type and unclassified severe crush fractures. Complete anatomical reduction was obtained in 58 out of 72 fractures (77%) and 56 out of 64 patients (87.5%) were classified as "very good" by the Maxfield assessment. In this paper the authors discuss their method of management of displaced fractures of the thalamic part of the calcaneum.