Extended lateral approach with open reduction and internal fixation for intraarticular calcaneal fractures.docVIP

 PAGE \* MERGEFORMAT 6 Extended lateral approach with open reduction and internal fixation for intraarticular calcaneal fractures On: Sun Yong, Wang V, Yang Peng, Zhuang Weiping [Abstract] of extended lateral approach with open reduction and internal fixation for intra-articular calcaneal fractures, 38 cases were followed up for 6 to 36 months, all fractures healed, Bohler angle and Gissane significantly improved compared with the preoperative angle. [Keywords:] fracture, internal fixation; joint January 2004 ~ August 2007, our department extended lateral approach with open reduction and internal fixation of intraarticular calcaneal fractures in 38 cases, results were satisfactory, the report is as follows. Clinical data 1 General Information The group of 38 patients, 25 males and 13 females, aged 18 to 69 years old, average 36.8 years old. The causes of injury: 28 cases of injury falling from height, road traffic injuries in 10 cases. Right foot in 23 cases, 15 cases of left foot. Were admitted to hospital were injured when the foot swelling, blisters formed in 7 cases. X ray showed the fracture line involving the subtalar joint are, in both the articular surface after the collapse, Bohler angle reduced to 0 ~ 16 , an average of 10 , Gissane angle decreases as the 38 ~ 62 , an average of 45 . fractures type: According to Sanders Category: type 17 cases, 13 cases, type, 8 cases were closed fractures. surgical time: 7 to 14 days after injury. 2 surgical methods Spinal anesthesia, the lateral position. Take the lateral extension of L-type calcaneal incision, full thickness skin and subcutaneous incision to the periosteum, subperiosteal sharp dissection, turned up flap, two Kirschner wires fixed to the talus on the flap. stripping with the ligament, the lateral wall of calcaneus exposed subtalar joint, calcaneocuboid joint. first reset, and set out from the anterior process calcaneus sudden and temporary fixation with Kirschner wire