Excision of the Tip of the Lateral Malleolus for the Crush Fracture of the Calcaneus

Abstract

In a severe crush fracture of the calcaneus, part of the lateral cortex may be displaced to lie under the lateral malleorus.This may cause local pain and tenderness either by direct bony contact or by compression of the peroneal tendons.Previously the surgical treatment of the complication has been excision of the displaced bone. However, in this way a trouble of calcaneal width does not improve. Excision of the tip of the latcral malleorus by ISBLSTER (1974) is good procedure in this condition.In our cases, five of the six patients reported were completely relieved of lateral pain.