Complications

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