Carr J B
Division of Orthopaedic Surgery, Medical College of Virginia, Richmond 23298.
Clin Orthop Relat Res. 1991 Feb(263):206-9.
Varus displacement of the talus in the ankle mortise secondary to a calcaneus fracture was observed in a 33-year-old man. Similar to the calcaneus fracture-dislocation, the mechanism involved inferior and medial displacement of the talus into the body of the calcaneus. The patient's ankle deformity was not corrected by a lateral ankle ligament reconstruction. Correction required a distraction subtalar bone block fusion. Successful reconstruction of the hindfoot after calcaneus fractures requires a careful analysis of the pathologic lesion. In this unusual case, correction required restoration of lost hindfoot bone structure.