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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2007 October;58(5):475-80
Classification of open calcaneal injuries
Lawrence S. J., Gardiner J. R., Grau G. F.
Department of Orthopedic Surgery A. B. Chandler Medical Center The University of Kentucky, Lexington, KY, USA
Open calcaneal injuries commonly involve high-energy, comminuted intra-articular fractures with variable soft-tissue disruption. The zone of injury is usually extensive. Poor functional outcomes are frequently associated with this injury. Assessment of the osseous and nonosseous injury components must be considered to determine appropriate intervention strategies. A therapeutic and prognostic fracture classification comprising three fracture subtypes with two soft-tissue injury subtypes is presented. This classification scheme is intended to guide treatment and to optimize long-term outcomes of these difficult hindfoot injuries.