Internal Fixation of the Intra Articular Fractures of Calcaneum without Bone Grafting
نویسندگان
چکیده
The management of calcaneal fractures range from closed treatment to open reduction internal fixation with different fixation. The radiological and functional outcome of 15 closed intra-articular Sander’s type II and III calcaneal fractures fixed with locking calcaneal plate by extensile lateral approach was done. Properly selected cases with proper timing of surgery accepted results in both clinically and radiologically are achieved with few complications.
منابع مشابه
Osteosynthesis for intra-articular calcaneal fractures.
PURPOSE To correlate treatment results of intra-articular calcaneal fractures with their computed tomographic (CT) classification. METHODS 36 men and 4 women with 48 intra-articular calcaneal fractures (8 bilateral) underwent open reduction and internal fixation with bone grafting via an extensile lateral approach. Based on 2-dimensional CT scans, the fractures were categorised using the Sand...
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Fracture of the calcaneum is common, and the majority are displaced intra-articular fracture patterns. Over the last three decades there have been considerable advances in the management of this injury. Open reduction and internal fixation is an accepted treatment for displaced fractures, and percutaneous techniques are now emerging. However, surgical treatment remains controversial, and many f...
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We carried out a retrospective review of 47 intra-articular fractures of the calcaneum treated by open reduction and internal fixation in 45 patients by a single surgeon between 1993 and 2001. The fractures were evaluated before operation by plain radiographs and a CT scan using Sanders' classification. Osteosynthesis involved a lateral approach and the use of the AO calcaneal plate. The mean f...
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The extended lateral L-shaped approach for the treatment of displaced intra-articular fractures of the calcaneum may be complicated by wound infection, haematoma, dehiscence and injury to the sural nerve. In an effort to reduce the risk of problems with wound healing a technique was developed that combined open reduction and fixation of the joint fragments and of the anterior process with percu...
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