Severe XXXX . Long-term results.

@entity1 @entity571 @entity174 @entity3029 @entity6866 @entity158 @entity12290 @entity2530
Fifteen adolescents and adults were assessed an average of eighteen years after a type-III open @entity3029 . There were ten lateral and five medial dislocations. Associated injuries included ten injuries of the tibial nerve, seven of which were complicated by @entity6866 ; five @entity12290 ; five lacerations of the posterior tibial artery; twelve articular @entity174 involving the subtalar joint; three articular @entity174 of the talonavicular joint; three @entity174 of the talar dome; and three @entity174 . @entity2530 of the body of the talus was found in five of the fifteen @entity1 . It was treated with a triple arthrodesis in all five @entity1 , one of whom had a subsequent conversion to a pantalar arthrodesis. Subtalar arthrodesis was done, because of post-traumatic @entity571 , in two other @entity1 . On functional assessment at the long-term follow-up examination, all @entity1 reported some @entity158 in the ankle, nine had difficulty climbing stairs, fourteen had difficulty walking on uneven surfaces, and eleven wore modified shoes. The @entity1 who had had a tarsal arthrodesis returned to their pre-injury occupation or to a less strenuous job. Four @entity1 who had persistent @entity6866 did not return to work. We concluded that open @entity3029 is a distinctly severe injury and that only fair functional and poor anatomical results can be expected in most @entity1 .
