ORIF or ORIF with Primary Subtalar Arthrodesis (PSTA) for a Sanders IV fracture?

HISTORY – A 35-year-old male was working on a roof when he fell about 6 meters. He hit the pavement on the side of the house. He was not injured other than his Left leg, but it was badly injured, and he was taken to the Emergency unit. At the nearest trauma center, he was found to have no injuries except to his Lt leg. He had a very swollen Lt foot but no blisters. He had normal sensation and movement to his 5 toes. He had normal pulses. X-rays and CT scans were done. Experienced orthopedic trauma surgeons called his injury a Sanders IV fracture (Figures 1-5).
Source: Injury - Category: Orthopaedics Authors: Tags: Orthopaedic Trauma Guidance Source Type: research