Table 4 Type IIIA fractures n = 15 (34,9%)
Case | Concomitant injury | Time from accident to treatment | Treatment | FU in months | Consolidation | Posttraumatic osteoarthritis | Return to work/time |
|---|---|---|---|---|---|---|---|
Initially diagnosed injuries | |||||||
1 | Pilon tibiale fracture | – | Tip toe weight bearing for 6 weeks | 14 | Yes | CC | Pensioner, walking after 6 weeks |
2 | Metatarsale fracture 1–3 | – | Tip toe weight bearing for 6 weeks | 2 | Yes | No | Yes, after 1,8 months |
3 | – | – | Tip toe weight bearing for 6 weeks | 6 | Yes | No | Yes, after 7 months |
4 | Bone bruise naviculare | – | Partial load with an increase of 20 kg every 2 weeks | 15 | Yes | No | Yes, after 4,5 months |
5 | Type I fracture, Naviculare + metatarsale 2–4 fracture, soft tissue defect | – | Tip toe weight bearing for 6 weeks | 2 | Yes | No | Yes, after 7 months |
6 | Naviculare fracture | – | Partial load with an increase of 20 kg every 2 weeks | 107 | Yes | No | Yes, after 3 months |
Missed injuries | |||||||
1 | Posterior process of tali fracture | 1) 3 months, 2) 26 months | 1) Open resection2) CC joint arthrodesis | 45 | – | CC | No |
2 | Metatarsale 4 fracture | 3 months | ORIF + bone graft | 4 | Yes | No | Yes, after 4 months |
3 | Bone bruise talus | 1 months | 3 weeks of relief, then partial load for 3 weeks | 8 | Partial | CC | No |
4 | – | 5 months | Open resection | 1,5 | – | No | Could not be determined |
5 | – | 7 months | Open resection | 1,5 | – | No | Yes, after 14 days |
6 | – | 32 months | Open resection | 78 | – | No | Yes, after 14 days |
7 | – | 3,5 months | Tip toe weight bearing for 4 weeks | 86 | Yes | No | Yes, after 1.5 years |
8 | – | 3 months | Full load in a boot | 25 | Yes | CC | Yes (never stopped) |
9 | Cuboideum fracture | 10 months | ORIF + bone graft | 6 | Partial | CC | No |