2/19/2023 0 Comments Calcaneus fracture![]() ![]() ![]() This makes it very difficult to accommodate walking on uneven ground. ![]() The biggest risk with intra-articular calcaneus fractures is stiffness of the subtalar joint, resulting in a loss of sideways movement in the foot. Patients in manual labour jobs can take 6-12 months to return to work. Long term pain and disability are not uncommon after this injury, even after excellent surgical treatment. Swelling and stiffness is likely to be present for many months. Prolonged physiotherapy can be needed after this to maximise function. Patients are usually non-weightbearing for 8 to 12 weeks after the injury or surgery. How long does it take to recover?Ĭalcaneus fractures are severe injuries, and recovery can take many months. Ultimately, the idea behind restoring the normal shape of the bone and congruency of the subtalar joint with surgery is to restore normal movement to the ankle and hindfoot, and reduce the likelihood of developing post-traumatic arthritis, stiffness and pain. Some select fracture patterns can be treated in a minimally-invasive patterns, using only small cuts to manipulate the bone fragments and fix them with screws. Some fractures necessitate an open approach with a large L-shaped incision on the outside of the heel, whilst other fractures can be managed with a smaller incision just in front of the tip of the fibula. The goal of surgery is to restore the normal shape of the calcaneus, as well as to reconstruct the joint surface. Surgery is recommended for intra-articular or displaced calcaneal fractures. This involves casting of the leg and foot in a below-knee plaster for around 6 weeks, rest and elevation, and strict non-weightbearing. Minimally displaced fractures, with well-aligned subtalar and calcaneocuboid joints, can be treated non-surgically. The treatment approach for calcaneus fracture depends on the type and severity of injury. Given the complex fracture patterns seen in calcaneus fractures, a CT scan is often ordered to fully evaluate the injury and plan treatment accordingly. Absent or limited inward and outward movement of the footĪfter a history and examination of the foot and ankle, X-rays are ordered to evaluate the ankle and foot. ![]()
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