Landing on your own two feet: a case report of bilateral calcaneus and open pilon fractures.
Publication/Presentation Date
1-1-2014
Abstract
High energy fractures of the distal tibial plafond and calcaneus have been associated with high functional morbidity and wound complications. Although both of these fractures result from a similar mechanism, they have rarely been reported to occur on an ipsilateral extremity. The combination of these 2 injuries on the same extremity would increase the likelihood of an adverse surgical or functional outcome. We present the case and management strategy of a 43-year-old male with bilateral open pilon fractures and closed calcaneal fractures after falling from a height. A staged protocol was used for the bilateral pilon fractures, with external fixation until operative fixation on day 9. Nonoperative management of the calcaneal fractures resulted in a successful functional outcome at 10 months of follow-up. Treatment of this fracture pattern must incorporate the condition of the soft tissues, an understanding of the fractures, and minimize patient risk factors to optimize the functional and surgical outcomes.
Volume
53
Issue
5
First Page
647
Last Page
651
ISSN
1542-2224
Published In/Presented At
Tiedeken, N. C., Hampton, D., & Shaffer, G. (2014). Landing on your own two feet: a case report of bilateral calcaneus and open pilon fractures. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 53(5), 647–651. https://doi.org/10.1053/j.jfas.2014.04.015
Disciplines
Medicine and Health Sciences
PubMedID
24856663
Department(s)
Department of Surgery
Document Type
Article