# Calcaneal Fracture-Dislocation: A Case Report

## TL;DR

This case report describes a rare calcaneal fracture-dislocation in a 45-year-old woman and the surgical approach used to treat it.

## Contribution

The paper presents a novel medial surgical approach for treating calcaneal fracture-dislocations to reduce tendon irritation risks.

## Key findings

- A medial surgical approach was used to accurately fix the posterolateral fragment of a calcaneal fracture-dislocation.
- The approach may reduce the risk of hardware-related tendon irritation in such injuries.
- Accurate imaging and meticulous planning are crucial for successful treatment of these complex injuries.

## Abstract

Calcaneal fracture-dislocations are rare, high-energy injuries in which the sustentacular fragment typically remains stable, while the posterolateral fragment is displaced laterally. These injuries are frequently associated with additional fractures, ligamentous disruption, or tendon entrapment, and they present considerable diagnostic and surgical challenges. Accurate imaging and meticulous operative planning are essential to restoring hindfoot alignment and function. We report the case of a 45-year-old woman with a calcaneal fracture-dislocation, treated via a medial approach to enable accurate fixation of the posterolateral fragment, potentially reducing the risk of hardware-related tendon irritation.