Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature

Talar and calcaneal fractures are commonly associated with other musculoskeletal injuries and systemic trauma. Both injuries in isolation have a guarded clinical outcome, and are associated with numerous complications whether treated operatively or nonoperatively. Few studies, however, have reported cases with ipsilateral closed talus and calcaneal fractures. We report one such rare case presenting with closed ipsilateral type IV talar neck fracture and type IV communited intra-articular calcaneal fracture as a result of high energy trauma. Unfortunately the patient had a concurrent vascular injury at the proximal tibia level which ultimately necessitated amputation. Through our report we highlight the universally poor results in such cases and discuss the management options if encountered with such a rare pattern of injury.