The injury
The calcaneus is typically fractured by axial load, such as a fall from height. The subtalar joint is usually involved and the heel becomes broadened and shortened.
Surgical approach
The traditional extensile lateral incision carries a high rate of wound complications. Where the fracture pattern allows, I use a sinus tarsi approach, reduce the joint under image guidance and hold it with a low-profile plate and screws.
Indications for surgery
Displaced intra-articular fractures in patients whose skin condition, vascular status and smoking history permit surgery to be undertaken safely. Undisplaced fractures are treated in a boot.
Recovery
Elevation for two weeks, six to eight weeks non-weight-bearing, then progressive loading. Swelling may persist for several months, and a proportion of patients subsequently require subtalar fusion for post-traumatic arthritis.
Arranging an appointment. Private patients are seen at King Edward VII's Hospital, The London Clinic, Cromwell Hospital and HCA Healthcare at The Shard. NHS patients are seen at King's College Hospital.
Call 020 7046 8004 or send an enquiry.
This page provides general information and is not a substitute for individual assessment.