Bilateral Open Transcalcaneal Fracture with Talonavicular Dislocation - A Case Report -

Hun Park; Sung Jin Shin; Sang Rim Kim; Kwang Woo Nam; Sung Wook Choi; Kyu Bum Seo; Jun Young Seo

doi:10.12671/jkfs.2011.24.1.87

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Park, Shin, Kim, Nam, Choi, Seo, and Seo: Bilateral Open Transcalcaneal Fracture with Talonavicular Dislocation - A Case Report -

Case Report

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2011; 24(1): 87-91.

Published online: 21 January 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.1.87

Bilateral Open Transcalcaneal Fracture with Talonavicular Dislocation - A Case Report -

Hun Park, M.D., Sung Jin Shin, M.D.^*, Sang Rim Kim, M.D.^*, Kwang Woo Nam, M.D.^*, Sung Wook Choi, M.D.^*, Kyu Bum Seo, M.D.^*, Jun Young Seo, M.D.^*

Department of Orthopedic Surgery, Chonbuk National University School of Medicine, Research of Clinical Medicine, Jeonju, Korea.

^*Department of Orthopedic Surgery, Jeju National University College of Medicine, Jeju, Korea.

Address reprint requests to: Sung Jin Shin, M.D. Department of Orthopedic Surgery, Jeju National University College of Medicine, 1753-3, Ara 1-dong, Jeju 690-767, Korea. Tel: 82-64-717-1690·Fax: 82-64-757-8276, ggeep@naver.com

Received 17 January 2010 Revised 5 March 2010 Accepted 20 October 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although calcaneal fracture is relatively common in ankle injury, open intraarticular calcaneal fracture with dorsal dislocation of the navicular from talus is extremely rare and severe injury. There are few data which are available concerning the injury mechanism and treatment options. The purpose of this report is to describe a case with bilateral open transcalcaneal fracture with talonavicular dislocation and to discuss the prevalence, mechanism of this injury, and treatment options.

Keywords: Calcaneus, Talonavicular dislocation

Figures and Tables

Fig. 1

26-year-old woman sustained an open fractures of the both calcaneus and fracture of the lumbar spine by a fall from a height. Initial (A) right and (B) left lateral radiographs show severe comminuted intra-articular calcaneus fracture with talonavicular dislocation.

(C) Lateral radiograph of the lumbar spine shows compression fracture of 2nd, 3rd and 4th lumbar vertebral body.

Fig. 2

(A) Right and (B) left CT semi-coronal view shows the Sanders type IV with severe comminution.

(C) CT axial view of the 2nd lumbar vertebra shows compromising the spinal canal by bursting fracture.

Fig. 3

After irrigation and debridement, closed reduction and percutaneous K-wires and Steinmann pins fixation were performed due to contaminated open fracture.

Fig. 4

(A) Open reduction and internal fixation with sub-talar arthrodesis by plate and cannulated screw were performed due to severe comminuted intra-articular fracture.

(B) Open reduction and internal fixation were performed by extended lateral approach.

Fig. 5

Lateral radiographs of both calcaneus show maintenance of the reduction of talonavicular joint and good bony union of calcaneus at 14 weeks after operation.

References

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