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Foot Ankle Spec ; 13(4): 335-340, 2020 Aug.
Article de Anglais | MEDLINE | ID: mdl-32363919

RÉSUMÉ

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Residual deformities, multiple procedures, and limitations are usually the norm. Therefore, studies have suggested that primary arthrodesis may represent the best option of surgical treatment. In this study, we report a case of a 30-year-old male patient with a rare combination of a highly comminuted transcalcaneal fracture-dislocation associated with a talar neck fracture successfully treated with open reduction and internal fixation (ORIF) with an 18-month follow-up. This case demonstrates that even when there are associated fractures of the talus and calcaneus with severe bone loss, ORIF may provide satisfactory outcomes in the short-term postoperative period.Levels of Evidence: Level V: Case report.


Sujet(s)
Arthrodèse/méthodes , Calcanéus/chirurgie , Fracture articulaire/chirurgie , Ostéosynthèse interne/méthodes , Fractures osseuses/chirurgie , Fractures comminutives/chirurgie , Fractures articulaires/chirurgie , Réduction de fracture ouverte/méthodes , Talus/chirurgie , Adulte , Humains , Fractures articulaires/anatomopathologie , Mâle , Résultat thérapeutique
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