X-rays and CT scans at Tam Anh General Hospital in Ho Chi Minh City revealed that Dara had shattered both heel bones, fractured the lower ends of his left tibia and fibula, and fractured two sacral vertebrae. The soft tissue around the fractures was severely bruised and swollen, with extensive blistering on both feet.

Dr. Nguyen Van Thanh of the Orthopedic and Trauma Center explained that Dara's extensive soft tissue damage and blood loss made immediate surgery risky. He was stabilized, his legs and spine were immobilized, and he received pain medication, anti-inflammatory drugs, blood transfusions, and wound care. After 10 days, when the blisters had subsided and the swelling reduced, he underwent surgery to repair the fractures.

Dr. Thanh (center) performs surgery on the patient. Photo: Tam Anh General Hospital

The surgical team used minimally invasive techniques to reduce soft tissue damage and promote faster healing. Small incisions (1-3 cm) were made to insert plates into the tibia and fibula fractures, which were then secured with screws. A C-arm fluoroscopy system was used to ensure precise placement of the hardware.

Due to the complexity of the shattered heel bones and significant bone loss, open surgery was necessary to realign the fragments and perform bone grafting. This aimed to restore the shape and mechanical function of the heels for future mobility. While open surgery provides better visualization and access to the fracture site, it carries a higher risk of soft tissue damage and skin necrosis, demanding meticulous precision from the surgeons.

During the 5-hour operation, the surgeons used 39 screws, 4 plates, and a significant amount of bone graft material. The sacral fractures, which were not affecting function or causing nerve compression, were treated conservatively with observation.

X-rays of Dara's heel before (left) and after surgery. Photo: Tam Anh General Hospital

A week post-surgery, Dara's incisions and soft tissue injuries were healing well. Dr. Thanh anticipates that he can begin walking in 6-8 weeks, with full bone healing expected in 6-12 months. After recovery, Dara should be able to resume normal activities and participate in light sports.

Dr. Thanh cautioned that even young people are susceptible to multiple injuries from falls. He emphasized the importance of safety precautions and seeking immediate medical attention after any accident to prevent complications.

Phi Hong

*The patient's name has been changed.