Vol. 11, Issue 4 (2025)

Background and Aims: Displaced intra-articular calcaneal fractures represent some of the most demanding injuries to manage in the hindfoot, often causing marked alteration of heel anatomy and disruption of subtalar joint congruity. Non-operative treatment in such cases frequently results in residual deformity, malunion, loss of heel height, and persistent joint incongruence, which may lead to chronic pain, functional limitations, and post-traumatic subtalar arthritis. Surgical fixation has become the preferred strategy to restore anatomy, optimize joint alignment, and reduce long-term disability. This study explores our experience and outcomes of managing these fractures with open reduction and calcaneal plating via the extended lateral approach.

Material and Methods: Total of 20 patients were studied having calcaneum fractures classified by Sanders classification treated surgically with lateral approach and calcaneum plating . Monthly follow up was taken and evaluation maintaining upright posture and facilitating human gait. It transmits the done by Modified Maryland foot score. Follow up was taken upto 8 months