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(1) Department of Trauma and Orthopaedics Surgery, Leeds University Teaching Hospital, Leeds, UK
Developing a surgical strategy that allows easy access to the combined injuries to foot and ankle joints can be challenging because of the poor state of the surrounding soft tissues and overall fracture configuration. We report a case of combined ipsilateral calcaneal and bimalleolar ankle fractures that were surgically fixed by a single incision, along with a review of the literature.
To date, very few studies have been published in relation to combined ipsilateral calcaneal and ankle fractures. None have reported a case where ipsilateral calcaneal and ankle fractures were fixed by a single extensile incision for the calcaneus and fibula simultaneously. Therefore we demonstrate the versatility of this extensile L-shaped lateral approach and why it should be kept as an option when similar cases are considered for operative fixation.
Our patient did very well post-operatively with a foot and ankle disability index score of 72%; he was completely mobile at three months and discharged from follow-up at 18 with no major complications and able to resume his previous job as a heavy goods vehicle driver.