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Minimally Invasive Surgery
Volume 2011 (2011), Article ID 930902, 3 pages
http://dx.doi.org/10.1155/2011/930902
Case Report

Arthroscopic Subtalar Arthrodesis after a Calcaneus Fracture Covered with a Forearm Flap

1Department of Orthopaedics, AZ Groeninge, Burgemeester Vercruysselaan 5, 8500 Kortrijk, Belgium
2Department of Orthopaedics, Bordeaux Mérignac Sports Clinic, 9, rue Jean Moulin, 33700 Mérignac, France

Received 15 September 2010; Accepted 21 December 2010

Academic Editor: Othmar Schöb

Copyright © 2011 Frederick Michels et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Surgical treatment of intraarticular calcaneal fractures is often associated with postoperative wound problems. Soft tissue necrosis, bone loss and uncontrollable infection are a challenge for the surgeon and amputation may in some cases be the ultimate solution. A free flap can be very helpful to cover a significant soft tissue defect and help in fighting the infection. However, the free flap complicates the surgical approach if subtalar arthrodesis and bone reconstruction are needed. This study demonstrates the value of an arthroscopic technique to resect the remaining articular cartilage in preparation for subtalar arthrodesis and bone grafting. This approach avoids compromising the soft tissues and minimizes damage to the free flap.