Ipsilateral Talus and Calcaneus Fractures
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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.
KeywordsTalus Calcaneus Fracture Trauma Technique
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