JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

J Am Acad Orthop Surg, Vol 15, No 6, June 2007, 367-376.
© 2007 the American Academy of Orthopaedic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lawrence, S. J.
Right arrow Articles by Singhal, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lawrence, S. J.
Right arrow Articles by Singhal, M.

Open Hindfoot Injuries

Steven J. Lawrence, MD and Manuj Singhal, MD

Dr. Lawrence is Associate Professor, Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY. Dr. Singhal is Resident, Department of Orthopaedic Surgery, University of Kentucky.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Lawrence and Dr. Singhal.

Reprint requests: Dr. Lawrence, Department of Orthopaedic Surgery, K-415 Kentucky Clinic, 740 South Limestone, Lexington, KY 40536-0284.

Successful management of open talar and calcaneal injuries of the hindfoot is a formidable orthopaedic challenge. The soft-tissue disruption associated with these high-energy traumatic injuries adds to treatment complexity. Extensive fracture comminution and cartilage damage are often present with calcaneal fracture. Osteonecrosis is commonly associated with talar injury. Treatment may be divided into acute and reconstructive phases. Successful outcome is dependent on several variables—accurate fracture reduction, timing of intervention, prevention of infection, and meticulous soft-tissue handling. Anatomic fracture or joint reconstruction may not be possible. Joint stiffness and posttraumatic arthritis are common and may be debilitating. Complications, such as infection and osteonecrosis, also can be devastating. Long-term outcomes are frequently unsatisfactory. Chronic ambulatory dysfunction and persistent neurogenic pain may result despite appropriate management. With severe complex open fractures and extended soft-tissue injury, limb amputation may be the best treatment option.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Academy of Orthopaedic Surgeons.