- most crucial measurement is degree of continuity of posterior facet, which is best determined by CT scan;
- all frx are initially treated by strict bed rest, elevation, until acute swelling has subsided;
- nondisplaced frx w/ mild or moderate decrease in Bohler's < are initially treated by early mobilization, avoidance of wt bearing for 6 weeks;
- early mobilization with protection from wt bearing is maintained until frx union occurs;
- historical treatment has included closed reduction (Bohler) w/ distraction and medial lateral compression;
- may need to be supplemented by orthotic support with a custom-molded insole, rocker-bottom shoe, or ankle-foot orthosis;
- when nonoperative treatment fails, consider sub-talar arthrodesis is often indicated
Intra-articular fractures of the calcaneum treated operatively or conservatively. A prospective study.