Early
Wound necrosis
Superficial infection 17%
Sural nerve neuroma
Intra-articular hardware penetration
Compartment Syndrome 10%
Deep infection
- Debridement and removal of metalwork
- Free flap over Abx beads, IV ABx
- Late grafting and STJ OA
Late
RSD
Non union
Heel pad problems
OA
- STJ & CCJ
- may require arthrodesis
Malunion
Calcaneal Malunion
Stephens and Sander's classification
Issues
- varus hindfoot locks Midfoot
- shortened foot / shortened lever arm
- peroneal impingement
- shoewear problems
Options
1. Lateral wall exostectomy and peroneal tenolysis
2. Above + STJ arthrodesis
3. Above + calcaneal osteotomy
- this may not allow the wound to be closed
- may need to do so gradually with frame