[Resection of the Tip of the Lateral Malleolus for Treatment of Symptomatic Calcaneo-fibular Abutment After Crush Fracture of the Calcaneus]

Tilquin, Bernard;Dubuc, Jean-Emile;Rombouts, Jean-Jacques
(1992) Revue de Chirurgie Orthopedique et Reparatrice de l’Appareil Moteur — Vol. 78, n° 8, p. 559-565 (1992)

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  • Tilquin, BernardUCLouvain
    Author
  • Dubuc, Jean-EmileUCLouvain
    Author
  • Rombouts, Jean-JacquesUCLouvain
    Author
Abstract
Persistent pain below the tip of the lateral malleolus may occur after comminuted fractures of the calcaneus. The pain is the result of compression of the peroneal tendons or abutment between the calcaneus and the lateral malleolus. Computerized tomography clearly shows the etiology. In these cases, the excision of the tip of the lateral malleolus, procedure described by Isbister, was performed. The clinical results of fifteen procedures in thirteen patients who had persistent pain below the tip of the lateral malleolus after fracture of the calcaneus are reported. All the patients were completely relieved of lateral pain. Subjectively, for nine patients, the results were excellent (7) or good (2). 4 patients are not satisfied. In these cases, pain arising from the subtalar joint was the main complain.
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Tilquin, B., Dubuc, J.-E., & Rombouts, J.-J. (1992). [Resection of the Tip of the Lateral Malleolus for Treatment of Symptomatic Calcaneo-fibular Abutment After Crush Fracture of the Calcaneus]. Revue de Chirurgie Orthopedique et Reparatrice de l’Appareil Moteur, 78(8), 559-565. https://hdl.handle.net/2078.5/81107 (Original work published 1992)