title: Primary subtalar joint arthrodesis with internal and external fixation for the repair of a diabetic comminuted calcaneal fracture.
abstract: Comminuted, intra-articular calcaneal fractures can cause severe lower extremity impairment and have devastating effects on a patient's well being. Diabetes is a multisystem process that may cause neuropathy and loss of protective sensation further complicating the prognosis. Not all calcaneal fractures are created equal and when considering the patient's overall presentation and extent of injury, the combined approach of internal and external fixation for fracture reduction may be beneficial for restoration of anatomic alignment and function.
authors.affiliation: Reconstructive Foot and Ankle Surgery, Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
authors.forename: Zacharia
authors.initials: Z
authors.lastname: Facaros
authors.forename: Crystal L
authors.initials: CL
authors.lastname: Ramanujam
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
mesh_terms: D001174:Arthrodesis / Q000379:methods; D002111:Calcaneus / Q000293:injuries / Q000601:surgery*; D003131:Combined Modality Therapy; D017719:Diabetic Foot / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018460:Fractures, Comminuted / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D018570:Risk Assessment; D013380:Subtalar Joint / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology