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Open surgical management of high energy ipsilateral fractures of the fibula and calcaneus
- Source :
- Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 21(3)
- Publication Year :
- 2014
-
Abstract
- Background Simultaneous ipsilateral fractures of the calcaneus and fibula are the result of high-energy injuries. Open surgical treatment of both fractures can be performed with incisions based on the described blood supply of the lower extremity. Methods A retrospective review for all patients with ipsilateral fractures of the calcaneus and fibula was performed over an eight-year period. Thirty-eight patients were identified. Eleven patients (28.9%) were treated with open reduction and internal fixation through two separate incisions. Average follow-up was 48.8 weeks. Results Two patients (18.1%) required a secondary procedure. Three patients (27.2%) developed incisional cellulitis that resolved with oral antibiotics and one patient required local wound care. All fractures united. Conclusions Ipsilateral fractures of the calcaneus and fibula require open reduction and internal fixation when closed or percutaneous treatment is not appropriate. We describe an operative approach based on the angiosomes of the lower extremity that allows for treatment of these complex injuries and report the associated complications.
- Subjects :
- Adult
Male
medicine.medical_specialty
Percutaneous
Time Factors
medicine.medical_treatment
Wound care
Fracture Fixation, Internal
Fractures, Open
medicine
Internal fixation
Humans
Orthopedics and Sports Medicine
Fibula
Reduction (orthopedic surgery)
Retrospective Studies
Peroneal Artery
Aged, 80 and over
Fracture Healing
business.industry
Middle Aged
medicine.disease
Surgery
Calcaneus
Treatment Outcome
Cellulitis
Female
Radiology
business
Bone Plates
Follow-Up Studies
Leg Injuries
Subjects
Details
- ISSN :
- 14609584
- Volume :
- 21
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
- Accession number :
- edsair.doi.dedup.....e34b92682fb78df0af7b3590ae14ed53