Evidence map›Paper›PMID 41718845›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Buttress plating of plantar medial tuberosity calcaneus fractures through a medial approach: surgical technique and case series.

Suzanna M Ohlsen, Eli W Bunzel, Mark R Adams, Michael F Githens, Reza Firoozabadi, Stephen K Benirschke, L Henry Goodnough

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Suzanna M OhlsenDepartment of Orthopedics and Sports Medicine, Harborview Medical Center, Seattle, USA. ohlsens@uw.edu.
Eli W BunzelDepartment of Orthopedics and Sports Medicine, Harborview Medical Center, Seattle, USA.
Mark R AdamsDepartment of Orthopaedics, Rutgers New Jersey Medical School, Newark, USA.
Michael F GithensDepartment of Orthopedics and Sports Medicine, Harborview Medical Center, Seattle, USA.
Reza FiroozabadiDepartment of Orthopedics and Sports Medicine, Harborview Medical Center, Seattle, USA.
Stephen K BenirschkeDepartment of Orthopedics and Sports Medicine, Harborview Medical Center, Seattle, USA.
L Henry GoodnoughDepartment of Orthopaedic Surgery, Stanford University, Stanford, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case series introduces the medial approach for surgical management of plantar medial avulsion (PMA) fractures of the calcaneus, which frequently occur in conjunction with tongue-type fracture patterns. The technique allows for direct access to the PMA fragment, enabling precise reduction and stabilization through buttress plating. In a series of 12 patients treated at a single institution, there were no soft tissue related complications including infections, wound issues, or neurologic injuries, and only one case requiring reoperation for symptomatic lateral implants. In conclusion, the medial approach demonstrates a safe and effective alternative for managing PMA fractures, potentially maximizing the biomechanical approach to the fracture while minimizing soft tissue complications. Further research is necessary to compare this technique with existing approaches to determine if clinical outcomes of patients improve with utilizing this technique.

Indexed as

Bone PlatesCalcaneusFracture Fixation, InternalFractures, AvulsionFractures, BoneAdultFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultButtress platingCalcaneus fracturePlantar medial avulsionSurgical approachTongue-type

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.