Advertisement

Ipsilateral Talus and Calcaneus Fractures

  • Michael F. GithensEmail author
  • Reza Firoozabadi
Chapter
  • 41 Downloads

Abstract

Ipsilateral talus and calcaneus fractures are rare injuries typically resulting from a high-energy mechanism. They are often seen in combination with severe soft tissue injury and other skeletal injuries in the same limb. Surgical management is dictated by the condition of the soft tissues and fracture patterns. The indications for operative treatment of combined injuries are based on the indications for each fracture in isolation, and similarly, the surgical strategy is based on each fracture in isolation. Careful planning for incision location is important to avoid narrow skin bridges and acute angles. Given the typical severity of these injuries, staged management with external fixation, followed by delayed definitive fixation, is common. While there is limited literature available reporting outcomes after treatment of these injuries, the typical prognosis is highly guarded. Subtalar arthrosis is not an uncommon sequela and many who develop post-traumatic arthritis will require secondary surgical procedures.

Keywords

Talus Calcaneus Fracture Trauma Technique 

References

  1. 1.
    Vallier HA, et al. Talar neck fractures: results and outcomes. J Bone Joint Surg Am. 2004;86-A(8):1616–24. ISSN 0021–9355. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/15292407.CrossRefGoogle Scholar
  2. 2.
    Gregory P, et al. Ipsilateral fractures of the talus and calcaneus. Foot Ankle Int. 1996;17(11):701–5. ISSN 1071–1007. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/8946186.CrossRefGoogle Scholar
  3. 3.
    Seybold D, Schildhauer TA, Muhr G. Combined ipsilateral fractures of talus and calcaneus. Foot Ankle Int. 2008;29(3):318–24. ISSN 1071–1007. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/18348829.CrossRefGoogle Scholar
  4. 4.
    Aminian A, et al. Ipsilateral talar and calcaneal fractures: a retrospective review of complications and sequelae. Injury. 2009;40(2):139–45. ISSN 1879–0267. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/19200538.CrossRefGoogle Scholar
  5. 5.
    Buckley R, et al. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2002;84-A(10):1733–44. ISSN 0021–9355. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/12377902.CrossRefGoogle Scholar
  6. 6.
    Benirschke SK, Sangeorzan BJ. Extensive intraarticular fractures of the foot. Surgical management of calcaneal fractures. Clin Orthop Relat Res. 1993;292:128–34. ISSN 0009-921X. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/8519099.CrossRefGoogle Scholar
  7. 7.
    Benirschke SK, Kramer PA. Wound healing complications in closed and open calcaneal fractures. J Orthop Trauma. 2004;18(1):1–6. ISSN 0890–5339. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/14676549.CrossRefGoogle Scholar
  8. 8.
    Pfeifer R, Pape HC. Missed injuries in trauma patients: a literature review. Patient Saf Surg. 2008;2(20). ISSN 1754–9493. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/18721480.
  9. 9.
    Sanders R, et al. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res. 1993;290:87–95. ISSN 0009-921X. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/8472475.Google Scholar
  10. 10.
    Vallier HA, et al. A new look at the Hawkins classification for talar neck fractures: which features of injury and treatment are predictive of osteonecrosis? J Bone Joint Surg Am. 2014;96(3):192–7. ISSN 1535–1386. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/24500580.CrossRefGoogle Scholar
  11. 11.
    Radnay CS, Clare MP, Sanders RW. Subtalar fusion after displaced intra-articular calcaneal fractures: does initial operative treatment matter? J Bone Joint Surg Am. 2009;91(3):541–6. ISSN 1535–1386. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/19255213.CrossRefGoogle Scholar
  12. 12.
    Attinger CE, et al. Angiosomes of the foot and ankle and clinical implications for limb salvage: reconstruction, incisions, and revascularization. Plast Reconstr Surg. 2006;117(7 Suppl):261S–93S. ISSN 1529–4242. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/16799395.CrossRefGoogle Scholar
  13. 13.
    Firoozabadi R, Kramer PA, Benirschke SK. Plantar medial wounds associated with calcaneal fractures. Foot Ankle Int. 2013;34(7):941–8. ISSN 1071–1007. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/23478886.CrossRefGoogle Scholar
  14. 14.
    Della Rocca GJ, et al. Fractures of the sustentaculum tali: injury characteristics and surgical technique for reduction. Foot Ankle Int. 2009;30(11):1037–41. ISSN 1071–1007. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/19912711.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Orthopaedics and Sports MedicineHarborview Medical Center/University of WashingtonSeattleUSA

Personalised recommendations