Surgical treatment of transthalamic fractures of the calcaneum

Abstract

Stulz recommends a reconstruction – arthrodesis from the age 65 years, but with the time, there is a tendency to the occurrence of a primitive deformation. He recommends an astragalo-calcaneal arthrodesis sacrifying the sub astragal articulation, subsequently stiffness occurs in 45% of cases, also there might be difficulty of the walk and arthrosis. After describing the technique, the authors propose raising the calcaneum and a sub astragal arthrodesis in severe and multi fragment thalamic fractures with erosion of the cartilage. In all cases, an ostheosynthesis of the calcaneum was performed using a multiperforated plaque type GECO.