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Case Reports in Orthopedics
Volume 2017 (2017), Article ID 9150538, 4 pages
https://doi.org/10.1155/2017/9150538
Case Report

Dual Fixation of Calcaneal Tuberosity Avulsion with Concomitant Achilles Tendon Rupture: A Novel Hybrid Technique

1Paul L. Foster School of Medicine, Texas Tech Health Sciences Center El Paso, El Paso, TX, USA
2William Beaumont Army Medical Center, El Paso, TX, USA

Correspondence should be addressed to Amr Abdelgawad

Received 7 November 2016; Accepted 26 February 2017; Published 5 March 2017

Academic Editor: Kiyohisa Ogawa

Copyright © 2017 Gautham Prabhakar 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

Fracture of the calcaneal tuberosity with a concomitant Achilles tendon rupture presents a difficult challenge for the treating surgeon. The ultimate goal of treatment is to restore function of both the gastrocnemius-soleus complex and the Achilles tendon. This particular subset of fractures occurs often in diabetics and elderly patients with osteoporosis making fixation of the displaced fragment rather complex. If the Achilles tendon disruption is only discovered later once the fracture is healed, subsequent management is difficult with surgical treatment being more morbid. While this is a rare injury, the consequences of a missed chronic Achilles tendon disruption are severe with significant dysfunction. It is therefore important to have a high index of suspicion for concomitant injury and to be prepared for dual fixation. We present a novel hybrid surgical fixation technique, which may be used in this instance.