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2 Types
NB! don't confuse a # with a calcaneus secondarium on X ray
2 Types: (older classifications)
2 types of # displacement may warrant more aggressive treatment:
Essex- Lopresti: axial percutaneous pin for tongue type #’s (Gissane spike)
Apply especially to the joint depression type
Essex-Lopresti’s method: lateral approach, fragment elevation & reduction & fixation with a pin through the
tuberosity, no bone graft
Palmer’s method: lateral approach with dislocation of the peroneal tendons, BG
McReynolds’ method: medial approach with reduction the medial fragments & fixation with a staple -
lateral fragments can be reduced through the # line on the medial side