Foot and ankle fractures due to MVAs include pilon fractures, ankle fractures, calcaneal fractures, talar fractures, midfoot fractures, metatarsal and digital fractures. These fractures range from mild with a good prognosis to severe injuries that often cause long-term sequelae and disability.
As with other lower extremity injuries, even fractures with a good prognosis can preclude return to pre-injury levels for a patient who must spend substantial amount of the workday standing/ambulating on his/her feet. As such, MVA injuries demand an individualized approach tailored to the severity of the fracture and patient’s work responsibilities.
All the above mentioned foot and ankle injuries due to MVAs are described with broad brush strokes – treatment algorithms have to be modified to suit individual patients. For the foot and ankle physician, the reality of dealing with MVA foot and ankle injuries can present many challenges. Yet the reward of being able to care for someone injured and getting them back to pre-accident level can be exalting.