1. Dr.Rajiv Shah
Foot & Ankle Orthopaedics
Foot & Ankle Surgeon
Vadodara, Surat, Gujarat

2. Before surgery
Learn about
deformities
Heel Position
Comminution
of post.facet
Shortening/
BroadeningInvolvement of CC joint

3.  Blisters: delay ORIF
 Wait up to 3-7 days
 Use of elevation, ice,
compression, drugs,
foot pump
 Beyond 3 weeks –treat
as calcaneal malunion!
 Wrinkle sign

6. C-
ARM
SURG
ASSIST.

11. C F L
Peronei

18. OUT ON
TROLLEY

20. “Reduction is started from
inside out….
Beginning with medial wall
&
sustantaculum reduction ”

30. ARTICULAR
REDUCTION
WIRES
HEEL LEGTH
RESTORING
WIRE
HEEL HEIGHT
RESTORING
WIRES

45. Sander’s I
Percutaneous
fixation
MIS

46. Sander’s II MIS

47. Sander’s III ORIF

48. Sander’s IV
Primary
Fusion

49. “Try to correct as much
damage as possible in the
acute phase with surgery as
late salvage procedures are
quite difficult with absolutely
uncertain results !! ”
Sander

50. That’s all…