Abstract
The primary objectives in the treatment of displaced intra-articular calcaneal fractures are to restore not only the posterior facet articular surface but also calcaneal height, length, and overall morphology, so as to maximize the function and longevity of the subtalar joint. The calcaneus plays an integral role in hindfoot motion and function in accommodating uneven ground and indirectly influences ankle motion. Weight-bearing radiographs and CT scan provide invaluable information as to the original fracture pattern, extent of displacement, and subtalar joint salvageability. Certain malunited fractures can be re-created along the original fracture lines and corrective techniques employed to restore alignment and preserve subtalar joint motion. In many instances, the subtalar joint is not salvageable and must therefore be sacrificed as part of the reconstructive salvage.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures: results using a prognostic computed to-mography scan classification. Clin Orthop Relat Res. 1993;(290):87-95.
Sanders R. Displaced intra-articular fractures of the calcaneus. J Bone Joint Surg Am. 2000;82(2):225–50.
Barei DP, Bellabarba C, Sangeorzan BJ, Benirschke SK. Fractures of the calcaneus. Orthop Clin North Am. 2002;33(1):263–85.
Radnay CS, Clare MP, Sanders RW. Subtalar fusion after displaced intra-articular calcaneal fractures: does initial operative treatment matter? J Bone Joint Surg Am. 2009;91(3):541–6.
Clare MP, Lee WE III, Sanders RW. Intermediate to long-term results of a treatment protocol for calcaneal fracture malunions. J Bone Joint Surg Am. 2005;87(5):963–73.
Carr JB, Hansen ST, Benirschke SK. Subtalar distraction bone block fusion for late complications of os calcis fractures. Foot Ankle. 1988;9(2):81–6.
Clare MP. Acute and chronic peroneal tendon dislocations. Tech Foot Ankle Surg. 2009;8:112–8.
Romash MM. Reconstructive osteotomy of the calcaneus with subtalar arthrodesis for malunited calcaneal fractures. Clin Orthop Relat Res. 1993;(290):157–67.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Clare, M.P. (2020). Revision Surgery After Failed Calcaneal ORIF. In: Berkowitz, M., Clare, M., Fortin, P., Schon, L., Sanders, R. (eds) Revision Surgery of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-030-29969-9_8
Download citation
DOI: https://doi.org/10.1007/978-3-030-29969-9_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-29968-2
Online ISBN: 978-3-030-29969-9
eBook Packages: MedicineMedicine (R0)