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Ugh. My least favorite surgery to do. I'll assume he fell from a height?
Calcaneal fractures are awful. No matter how well they are put back together, you almost always develop subtalar joint arthritis. In fact, some of the newer literature recommended just letting the fractures heal or primary arthrodesis (fusion) of the subtalar joint at the time of injury.
Will be a long recovery, but once healed from surgery, he MAY run again, but not likely the same as before the accident, especially trail running where you need that frontal plane motion/rotation.
Fatigue is biochemical, not biomechanical.
- Andrew Coggan, PhD