الفهرس 
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Abstract
Despite the relative prevalence of intra-articular calcaneal
fractures, definitive management is controversial. Historically the closed
treatment of these injuries had been unsatisfactory, leading Cotton and
Wilson to write in 1916, “The man who breaks his heel bone is done”. (91)
To avoid the feared soft tissue complications, several
minimally-invasive and percutaneous approaches have been proposed
throughout the history of calcaneal fracture treatment and recently
gained popularity for selected injury patterns. (10, 11)
After the first percutaneous operation by the German surgeon
Westhues in 1934, a considerable number of percutaneous and minimally
invasive open techniques have been used to treat calcaneal fractures.(12)
Based on several studies with percutaneous techniques,
Rammelt et al.(12) concluded in 2004 that percutaneous fixation of
displaced calcaneus fractures produces good to excellent results in
properly selected patients with less severe fracture patterns and that the
quality of joint reduction should be directly visualized to avoid problems
in subtalar joint motion. (12)
Twenty three (23) percutaneous fixation of calcaneal
fractures in 20 patients were included in this study. This study was done
at Sheikh Zayed Specialized and El Menoufia University hospitals between
October 2016 and June 2017.These patients were followed up for at least
6 months post-operatively. This study included closed intra-articular
calcaneal fractures type II and III in adult patients and excluded open,
extra-articular, type I and IV fractures.