Surgical Management for Avulsion Fracture of the Calcaneal Tuberosity

• DOI: 10.1111/os.12058
• Publication Date: 2013-08-12T11:11:28Z
• Authors: Guang‐rong Yu; Qing‐jiang Pang; Xiao Yu; Da‐wei Chen; Yun‐feng Yang; Bing Li; Jia‐qian Zhou
• Keywords: Calcaneal fracture; Subtalar joint; Avulsion fracture

Objective To discuss the operative methods and curative effect of calcaneal tuberosity fracture. Methods A retrospective study was done to analyze 15 patients with fracture who received surgical management between J anuary 2008 une 2011. There were nine males six females, age ranging from 31 68 years (average, 51.4 years). All had unilateral acute injury, left foot in 7 cases right 8 cases. According B eavis classification, there three type I 12 II . 10 treated open reduction screw fixation. The other two larger fragment involving a portion subtalar joint plate treatment assessed according ankle hindfoot score system merican O rthopaedic F oot nkle S ociety ( AOFAS ) after operation. Results Ten followed up for 36 months 20 months). healing time these ranged 25 weeks weeks). postoperative 47 100 points 91.1 points). Seven rated as excellent, good, one poor. rate excellent good 90%. Necrosis skin soft tissue exposure happened patient, eventually healed 3 by debridement preserved peroneal artery perforator flap transplantation. Loss another revision surgery fixation again. Conclusion obvious displacement, whose tissues are irritated severely, emergency internal operation should be offered prevent necrosis flaps far possible. small fractures, it is advisable choose large diameter fixation, while may better fragments, especially those line extending joint.