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Apart from the open, far lateral or sinus tarsi approach, operative treatment can be performed minimally invasive and percutaneously with intramedullary nailing. In this study, we sought to investigate the functional outcome of severe CFs treated with the C-Nail\u00ae implant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-two CFs (9\u2009\u00d7\u2009Sanders III and 8\u2009\u00d7\u2009Sanders IV), operated between 2016 and 2019, were followed up with a mean duration of 36 (\u00b1\u200911) months. The AOFAS score, pre- and postoperative B\u00f6hler angles, wound healing disorders, and patient-reported outcome measures (PROMs) like pain levels and return to work\/sport levels were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean AOFAS score was 72.0 (\u00b1\u20099.8). Four patients sustained wound healing disorders, yet no implant-associated surgical revision was required. Fifty percent of patients were pain-free within 1 year. Within 1 year, about 50% of the patients could return to sports, and about 80% of the patients could return to work. PROMs and functional results align with those from other implants reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intramedullary nailing of severe CFs with the C-Nail\u00ae implant can be considered a safe treatment alternative that yields acceptable results at mid-terms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-023-02433-3","type":"journal-article","created":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:02:24Z","timestamp":1705363344000},"page":"1111-1118","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Functional outcomes after intramedullary nailing (C-Nail\u00ae) of severe calcaneal fractures with mean follow-up of 36 months"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0005-299X","authenticated-orcid":false,"given":"Philipp","family":"Schippers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasmus","family":"Engels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Benning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Wunderlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yama","family":"Afghanyar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Arand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Nienhaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Drees","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erol","family":"Gercek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"K\u00fcchle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,16]]},"reference":[{"key":"2433_CR1","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.foot.2009.05.001","volume":"19","author":"MJ Mitchell","year":"2009","unstructured":"Mitchell MJ, McKinley JC, Robinson CM. 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