Calcaneal fracture is also known as Lover's fracture may be due to the fact that it is commonly seen in those who jump from great height so as to escape from lover's husband.
see the video of closed reduction of comminuted fracture of calcaneum with articular depression by one of the great surgeons of India Dr Anurag Shukla (M.S Ortho, M.Ch from U.K). While doing this surgery we come to know a very important fact which may be seen sometime. On seeing the X-Ray from lateral projection articular surface seems to be normal but x-ray from medial projection showed significant articular depression, thus both projections showed different pictures. This fact becomes very important when we used to do plating in calcaneum, we almost go through lateral approach, which can be misleading as we have shown from x-ray that's why we did surgery again after seeing x - ray from medial projection.Steps of closed reduction include, first we reduced the fracture with the help of fracture reducing forceps, then we applied K-Wire so as to give temporary fixation to the calcareous pieces. After that we permanently fixed the fracture with cancellous screw. In order to give immobilization to the ankle joint we need to fix it by external fixators. In order to do it we inserted k wire in all metatarsals, calcareous and tibia bone.
