Randomized Trialhigh evidence
Efficacy and safety of minimally invasive intramedullary calcaneal nail "nail-in-nail" technique versus extensile lateral approach plate internal fixation for Sanders type II-III calcaneal fractures: a multicenter, prospective, single-blind randomized controlled trial with 24-month follow-up.
Journal of orthopaedic surgery and research·May 27, 2026·PMID 42204553
Why it mattersCalcaneal fracture surgery is plagued by wound complications and variable functional outcomes. This high-quality RCT provides robust evidence that a minimally invasive intramedullary nail technique can improve functional recovery, reduce soft-tissue complications, and lower reoperation rates compared to the standard extensile lateral approach.

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