[Translated article] Management of surgical management of beak-type avulsion fractures of the posterior calcaneal tuberosity: A systematic narrative review.
Rev Esp Cir Ortop TraumatolJun 23, 2026 (epub)
Clinical ResearchOrthopedic Surgery
J Olucha Puchol, L Díaz Aviñó, F Forriol Brocal
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In 30 seconds
This systematic review evaluated the surgical management of beak-type avulsion fractures of the posterior calcaneal tuberosity, focusing on skin complications and prognostic factors. Fourteen observational studies involving 268 patients were analyzed. The review found a trend toward lower skin complication rates with closed reduction and percutaneous fixation (CRIF) compared to open reduction with internal fixation (ORIF).
Key findings
- CRIF showed a trend toward lower skin complication rates compared to ORIF.
- Time to surgery of less than 48 hours was identified as a relevant prognostic factor.
- Fragment displacement greater than 2 cm was also a significant prognostic factor.
Why it matters
Understanding the comparative outcomes of surgical techniques for these fractures is crucial for minimizing complications, particularly skin issues, which can significantly impact recovery and overall patient outcomes.