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Reappraisal of the treatment of fractures of the calcaneus involving the subtalar joint.

From our findings it appears that no one method of treatment is infallible and that functional and anatomical restitutio ad integrum of the fractured heel cannot be obtained. Each method has its advantages and disadvantages and these are not only inherent in the method itself, but also depend on how it is applied. The treatment must be chosen according to the lesion and cannot be standardised because of the variable and complex nature of these fractures. Other factors to be considered are whether it is bilateral, whether there are multiple injuries, and the general condition of the patient etc. In fractures with depressions of the mixed horizontal type the Stulz method of treatment seems to be the best.