Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Revision Surgery
Reconstruction of a Daunting Calcaneus Malunion
A complex calcaneus malunion reconstructed 16 months after injury — addressing every pain generator from nonunion and arthritis to nerve injury and toe deformity.
Patient Age
32 Years
MECHANISM
Post-op complications
PRESENTATION
16 months post-injury
APPROACH
Neurolysis, Tendon Release, Multi-Fragment Reconstruction
01
Clinical Rationale
After two surgeons' attempts left the patient in escalating pain, she travelled from the US for reconstruction. The case involved nerve injury, joint arthritis, and bone nonunion — addressed using the Centre's own pain-generator-based classification system for calcaneus malunions.
02
Surgical Approach
Reconstruction restored the three-dimensional shape and size of the bone with iliac crest grafting, combined with neurolysis and tendoachilles release, claw-toe correction and management of every identified pain generator using the centre's own ADEINS classification.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results, organised by stage. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Calcaneus malunion must be visualised in three dimensions; reconstruction aims to restore the shape and size of the bone.
#2
Iliac crest grafting is required in most malunion reconstructions to rebuild lost structure.
#3
Nerve issues are common and every pain generator — toe deformities and Achilles contracture included — must be addressed.
#4
Older classifications miss pain generators; the centre's ADEINS classification guides comprehensive management.
04
Clinical Care Points
RIGHT SIDE
- i) Neurolysis + tendoachilles release
ii) Iliac crest structural grafting
iii) Claw-toe correction
iv) ADEINS-based pain-generator management
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Reconstruction of a Daunting Calcaneus Malunion
A complex calcaneus malunion reconstructed 16 months after injury — addressing every pain generator from nonunion and arthritis to nerve injury and toe deformity.
A 32-year-old woman developed severe burning and tingling after fixation of a calcaneal fracture in the United States. Several further procedures removed implants and screws, yet pain, deformity and difficulty walking persisted for 16 months. By the time she presented for reconstruction, the problem involved not only the heel bone but also the subtalar joint, nerves, tendons and toes.
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