Circumstances of Injury:

During the performance of his duties, Oleksandr sustained an injury while jumping into a trench. The resulting damage now requires medical intervention.

Diagnosis:

Closed Comminuted Fracture of the Right Calcaneus (Heel Bone):

1. Closed Fracture:
   • The skin remains intact, reducing the risk of infection.
   • However, internal swelling and potential internal bleeding are significant concerns.
2. Comminuted Fracture:
   • The bone is broken into multiple fragments, making anatomical reconstruction more complex.
   • May involve joint surfaces, significantly affecting the foot’s functionality.

Clinical Plan:

Arthrodesis of the Calcaneus:

Arthrodesis is a surgical procedure aimed at fusing joint surfaces to immobilize the joint completely. For a comminuted fracture of the calcaneus, arthrodesis is often recommended when:

• Joint functionality cannot be restored due to extensive damage.
• Stabilization of the foot is required to support weight-bearing.
• Chronic pain needs to be addressed through joint immobilization.

Expected Outcomes:

• Stability: Provides a stable platform for walking and weight-bearing.
• Pain Relief: Eliminates pain associated with joint instability or deformation.
• Improved Quality of Life: Enhances mobility and reduces complications from untreated fractures.