Leenders, Timothy

Michielsen, Jef

Van Bouwel, Saskia

Vandenberghe, Melanie K.F.

Abstract: Avulsion fractures of the calcaneus are relatively uncommon and its incidence peaks in elderly women with reduced bone mineral density and neuropathic conditions. To be able to restore achilles tendon function, surgical treatment is warranted with displacement more than 1 cm. The use of fixation screws alone does not give enough pull out strength, so techniques have to be combined. When performing surgery, one must be aware this type of injury is notorious for its skin problems. With a bulky mass construction it is not always possible to avoid wound dehiscence. In this case report we aim to show a novel surgical technique when presented with a B\uf6hler type 2 calcaneal avulsion fractures. We performed a screw fixation secured with a softosynthesis. Taking a strong wire through the achilles tendon and tensioning it through the calcaneus, it is tunneled subcutaneously. This adds to the pull-out strength and prevents skin issues as much as possible

Calcaneal avulsion fracture : case report and surgical technique

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