Resection of lateral calcaneal prominences and subtalar fusion in old fractures of calcaneum

ABSTRACT

In Orthopaedic Department Assiut University hospital, twenty patients with average age fractures of calcaneum. Subtalar degenerative arthritis and peroneal tendinitis due to compression by the lateral bulge formation of the calcaneum were found in all cases. Tarsal tunnel syndrome was significant in 2 cases of them and planar calcaneal prominences was also observed in another 2 cases. All cases were managed by conservative measures which failed to relieve their complaint due to persistence of pain on weight bearing. Diagnosis was based on the location of the ender point, radiological views and conduction velocity studies were helpful in cases of tarsal tunnel syndrome. Resection of the lateral bulge and subtalar fusion. Below knee plaster cast was kept for 3 months and we got fusion in all cases, except one at time of cast removal. In all except two patients the pain on weight bearing is markedly reduced. In he first of these two, the lateral bulge was incompletely removed, and the second developed non-union