ArticleCureus2025
A Challenging Case of a Compound Calcaneum Fracture With Lateral Subtalar Dislocation Managed by Primary Subtalar Fusion: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Calcaneal fracture dislocations are relatively uncommon. Locked fracture dislocations of the calcaneus are particularly rare and often missed during initial evaluation due to subtle radiographic signs. As a result, many patients are initially treated symptomatically with rest and analgesics. Persistent pain and impaired function usually prompt further outpatient evaluation, leading to delayed diagnosis. This delay increases the risk of complications such as malunion and post-traumatic arthritis. Here, we present a case we managed, along with insights into the effective management of such complex injuries. A 14-year-old girl presented with persistent left foot pain, back pain, and inability to bear weight on the left foot for one week after a fall from a height. Examination revealed a 10 cm × 7 cm wound over the medial aspect of the foot, heel tenderness, and tenderness over the L4-L5 spinous processes. Imaging showed a calcaneal fracture with lateral subtalar dislocation and an L4-L5 compression fracture. After wound debridement and negative-pressure therapy, surgery was performed using a lateral extensile approach. Primary subtalar fusion with three 4.5 mm screws and K-wire stabilization of the talonavicular joint was performed. At six months, radiographs confirmed fusion, and the patient returned to normal, pain-free function. Primary subtalar fusion can serve as an effective treatment option in cases of open calcaneal fractures associated with subtalar dislocation, particularly when articular cartilage viability is compromised and joint preservation is not feasible. By addressing instability and preventing long-term pain from post-traumatic arthritis, fusion provides a stable and functional foot. However, because evidence is limited, further research with larger patient cohorts and long-term follow-up is essential to establish clear indications, functional outcomes, and potential complications. This will help define the precise role of primary subtalar arthrodesis in managing these complex injuries.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.