Abstract
Open calcaneal fractures are high morbidity injuries and the risk of complications depends on the concomitant injuries, on the size and the position of the traumatic wound. A 53-year-old male patient with bilateral open calcaneal fractures and associated concomitant lower extremity injuries such as subtalar dislocation, talonavicular dislocation and open distal tibial metaphyseal fracture was immediately operated by percutaneous Kirschner wire fixation combined with external fixators. He was able to walk with full weight bearing without any assistance at the end of the first postoperative year. Early aggressive debridement and irrigation followed by fixation with percutaneous Kirschner wires and external fixator can supply bony alignment in open comminuted calcaneal fractures associated with concomitant lower extremity injuries and should be considered for the healthy and active patients before primary arthrodesis.
Highlights
Open calcaneal fractures are potentially problematic, destructive hind foot injuries and can result in a wide range of outcomes regardless of the initial treatment modalities [1,2]
There is no previous report in the English language medical literature about the treatment and results of bilateral open calcaneal fractures with talonavicular and subtalar dislocations and open tibial fracture
The purpose of this paper is to report the result of the operative technique that was applied immediately for bilateral open calcaneal fractures with associated concomitant lower extremity injuries
Summary
Open calcaneal fractures are potentially problematic, destructive hind foot injuries and can result in a wide range of outcomes regardless of the initial treatment modalities [1,2]. The purpose of this paper is to report the result of the operative technique that was applied immediately for bilateral open calcaneal fractures with associated concomitant lower extremity injuries. A 53-year-old male worker with a history of falling approximately 10 m height on his feet was referred to our hospital He sustained multiple injuries such as stable burst fracture of third lumbar vertebrae, left anterior shoulder dislocation and bilateral open comminuted calcaneal fractures. Cases Journal 2008, 1:194 http://www.casesjournal.com/content/1/1/194 and talonavicular dislocation on the right foot and open distal comminuted tibial fracture on the left lower extremity (Figure 1). The uniplaner external fixator on the right lower extremity and the Kirschner wires on the both feet were removed four months after the index surgery due to the radiographic healing of both calcanei.
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