PMC3200126_01
Initial sagittal computed tomography scan of the fractured calcaneus.
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A 56-year-old male presented with a severe displaced intraarticular calcaneal fracture after a fall from a height (Figure 1).
Peroperative view. Position of radial forearm flap covering the soft tissue defect, incision of anastomosis, and endoscopic portals: (RFF: radial forearm flap, PA: pedicle anastomosis).
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fig2
The significant soft tissue defect was covered by a radial forearm free flap (Figure 2). The patient was placed prone on the operating table with the foot and ankle extended slightly past the end of the table (Figure 2).
Sagittal computed tomography scan obtained 6 months postoperatively showing union of the posterior subtalar joint and incorportation of the bone grafts. Two large cannulated, 7.5-mm screws were used. The horizontally placed screw fixed the talar head, the other screw the talar body.
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fig3
A computed tomography scan performed 6 months postoperatively confirmed good incorporation of the bone grafts (Figure 3).