Calcaneus Malunion with Subtalar Fusion (Bone Block Arthrodesis)

  • Selene G. ParekhEmail author
  • Rajiv Shah


Calcaneus malunion cases present with constellation of multiple challenging problems, all of which generate pain. In the present case example of calcaneus malunion, the case was approached to identify all such pain-generating elements with the help of clinical and radiological evaluation. These pain-generating elements, so called as pain generators, were addressed schematically during treating this case leading to successful outcome. This novel approach seems logical and worth adopting.


Calcaneus malunion Pain generators Osteotomy Fracture Nerve pain Tendon pain 


  1. 1.
    Nickisch F, Anderson RB. Post-calcaneus fracture reconstruction. Foot Ankle Clin. 2006;11:85–103.CrossRefPubMedGoogle Scholar
  2. 2.
    Pier CP, Enrico P, Paola A. Treatment of late complications of intra-articular calcaneal fractures. Clin Podiatr Med Surg. 2006;23:355–74.CrossRefGoogle Scholar
  3. 3.
    Verrabdhadra R, Tomiko F, Amy JP. Calcaneus malunion and non-union. Foot Ankle Clin. 2007;12:125–35.CrossRefGoogle Scholar
  4. 4.
    Myerson M, Quill G Jr. Late complications of fractures of the calcaneus. J Bone Joint Surg. 1993;75A(3):331–41.CrossRefGoogle Scholar
  5. 5.
    Garras DN, Santangelo JR, Wang DW, Easley ME. Subtalar distraction using interpositional frozen structural allograft. Foot Ankle Int. 2008;29:561–72.CrossRefPubMedGoogle Scholar
  6. 6.
    Stephens H, Sanders R. Calcaneal malunions: results of prognostic computed tomography classification system. Foot Ankle Int. 1996;17(7):395–401.CrossRefPubMedGoogle Scholar
  7. 7.
    Braley WG, Bishop JO, Tullos HS. Lateral decompression for malunited os calcis fractures. Foot Ankle. 1985;6(2):90–6.CrossRefGoogle Scholar
  8. 8.
    Clare MP, Lee WE 3rd, Sanders RW. Intermediate to long term results of a treatment protocol for calcaneus fracture malunions. J Bone Joint Surg Am. 2005;87(5):963–73.CrossRefPubMedGoogle Scholar
  9. 9.
    Guang-Rong Y, Sun-Jun HU, Yang Y-F, Zhao H-M, Zhang S-M. Reconstruction of calcaneus fracture malunion with osteotomy and subtalar joint salvage: technique and outcomes. Foot Ankle Int. 2013;34:726–32.CrossRefGoogle Scholar
  10. 10.
    Romash MM. Reconstructive osteotomy of the calcaneus with subtalar arthrodesis for malunited calcaneal fractures. Clin Orthop Relat Res. 1993;(290):157–67.Google Scholar
  11. 11.
    Huang PJ, YC F, Cheng YM, Lin SY. Subtalar arthrodesis for late sequelae of calcaneal fractures: fusion in situ versus fusion with sliding corrective osteotomy. Foot Ankle Int. 1999;20(3):166–70.CrossRefPubMedGoogle Scholar
  12. 12.
    Lui TH. Posterior ankle impingement syndrome caused by malunion of joint depressed type calcaneal fracture. Knee Surg Sports Traumatol Arthrosc. 2008;16:687–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryDuke University Medical CenterDurhamUSA
  2. 2.Department of Foot and Ankle OrthopaedicsSunshine Global HospitalsVadodaraIndia

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