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A complete dislocation of the calcaneus: a case report
1Krishna Institute of Medical Sciences, Mahartashtra, India. harishrao27@yahoo.com
Summary
An extremely rare open calcaneal dislocation case highlights the importance of managing associated foot injuries. Prompt treatment led to satisfactory function, despite developing calcaneocuboid osteoarthrosis.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Foot and Ankle Reconstruction
Background:
- Isolated calcaneal dislocation is exceptionally rare, posing diagnostic and management challenges.
- Open dislocations involving the calcaneus, cuboid, and talus are particularly uncommon.
- This case addresses a unique presentation of calcaneal dislocation with talonavicular subluxation.
Observation:
- A 40-year-old male presented with an open dislocation of the calcaneus from the cuboid and talus.
- The injury also involved subluxation of the talonavicular joint.
- Immediate surgical intervention included reduction and stabilization with Kirschner wires and an external fixator.
Findings:
- At two-year follow-up, no signs of infection or avascular necrosis were observed in the tarsal bones.
- Osteoarthrosis of the calcaneocuboid joint was a noted complication.
- Despite the osteoarthrosis, the patient achieved a satisfactory functional outcome after two years.
Implications:
- Accurate diagnosis of concomitant injuries in adjacent foot columns is critical.
- Adherence to established principles for managing midfoot trauma is essential for minimizing morbidity.
- This case underscores the need for comprehensive management strategies in complex foot dislocations.