Morbidity Associated with ORIF of Intra-Articular Calcaneus Fractures Using a Lateral Approach

Author:

Harvey Edward J.1,Grujic Leslie1,Early John S.1,Benirschke Stephen K.1,Sangeorzan Bruce J.1

Affiliation:

1. Investigation performed at: Harborview Medical Center, University of Washington. Seattle, WA

Abstract

This is a review of 183 patients with 218 displaced intra-articular fractures of the calcaneus treated by open reduction and internal fixation. One hundred and ninety four (89%) wounds underwent primary uneventful healing. Twenty-four wounds (11%) required local wound care. One deep infection occurred in a neuropathic foot that required below-knee amputation. No free-tissue transfers, local tissue flaps or skin grafts were needed in patients who presented initially with a closed fracture. Ninety-five fractures (43.5%) required subsequent surgical procedures (hardware removal—88/95 [93% of secondary procedures]). Six patients (2.8%) had postoperative sural nerve findings. Seventeen procedures other than hardware removal were performed. There were five subtalar fusions including two subtalar distraction bone-block arthrodeses. There were seven claw toe correction procedures, four calcaneal valgus osteotomies for varus malunions and one subtalar arthrolysis at the time of hardware removal. These results suggest internal fixation of displaced intra-articular calcaneus fractures using a single lateral approach is a safe, reliable method of treatment.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

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