Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2025; 16(11): 111052
Published online Nov 18, 2025. doi: 10.5312/wjo.v16.i11.111052
Published online Nov 18, 2025. doi: 10.5312/wjo.v16.i11.111052
Traditional Chinese bone-setting combined with percutaneous screw fixation for comminuted calcaneal fractures: A case report and review of literature
Hui-Chun Huang, Yong-Feng Che, Department of Orthopedics, Guangdong Provincial Hospital of Traditional Chinese Medicine, Zhuhai 519015, Guangdong Province, China
He Sun, Yi-Sheng Xu, Department of Orthopedics, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China
Yi-Sheng Xu, Hua-Yin Gao, Xiu-Shu Tang, Department of Orthopedics, Qianxinan Autonomous Prefecture Hospital of Traditional Chinese Medicine, Xingyi 562400, Guizhou Province, China
Author contributions: Huang HC was responsible for establishing the surgical technique standards and video recording; Che YF and Sun H were responsible for medical record collection and organization; Gao HY and Tang XS were responsible for the promotion and application of the technique; Xu YS was responsible for the production of surgical videos, and the writing and submission of the manuscript.
Supported by Jin-Wen Liu Academic Experience Heritage Studio Special Fund of National Famous Traditional Chinese Medicine, No. 75.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: Xu YS reports grants from National Administration of Traditional Chinese Medicine, during the conduct of the study; grants from National Administration of Traditional Chinese Medicine, outside the submitted work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi-Sheng Xu, PhD, Associate Chief Physician, Department of Orthopedics, Guangdong Provincial Hospital of Traditional Chinese Medicine, No. 111 Dade Road, Yuexiu District, Guangzhou 510120, Guangdong Province, China.
Received: June 23, 2025
Revised: August 15, 2025
Accepted: September 25, 2025
Published online: November 18, 2025
Processing time: 145 Days and 21.1 Hours
Revised: August 15, 2025
Accepted: September 25, 2025
Published online: November 18, 2025
Processing time: 145 Days and 21.1 Hours
Core Tip
Core Tip: This case report presents a sequential, stepwise manual reduction technique for comminuted calcaneal fractures, incorporating three standardized maneuvers, leverage, traction, and compression, prior to minimally invasive cannulated screw fixation. The Böhler angle was restored from 0° to 22°, with concurrent correction of calcaneal width. This minimally invasive technique uses small incisions, avoiding costly reduction devices or implants. At the 6-year follow-up, reduction was well maintained without loss of the Böhler angle. Thus, this approach with minimal equipment requirements provides a cost-effective surgical option, having significant potential for widespread adoption in resource-limited healthcare settings.