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External fixation of calcaneal fractures Nursing
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External fixation of calcaneal fractures Nursing
[Keywords:] locking plate fractures Nursing fractures accounted for 2% of the body fracture, is common tarsal bone fracture, about 60% of tarsal bone fracture [1]. Locking plate fixation of calcaneal fractures with external fixation precise, tissue damage, infection rate, can be early exercise, especially for poor osteoporosis and skin blood flow in patients with clinical and surgical treatment with open reduction and internal fixation effect of unknown clinical reports were different. now nursing summarized as follows:
1 Materials and Methods 1.1 General Information A total of 32 patients in this group were 34 feet, 23 feet of which 21 males and 11 females, 11 feet, aged 22 to 58 years, average 38 years of age. The left side in 19 cases, the right side in 15 cases (including 3 with bilateral calcaneal fractures cases). The causes of injury: 21 cases of injury falling from height, traffic accident in 7 cases, 2 cases of falls, crushing and other associated injury in 4 cases. All patients underwent calcaneal lateral and axial X-ray film .24 cases routine CT scan, spiral CT reconstruction in 8 cases, including intra-articular calcaneal fracture calcaneus Broden bit CR tablets. fractures according to Sanders type: type 3 feet, -type 12 feet, III-type 15 feet, type 4 feet.
1.2 Preoperative preparation All patients were taken before the X-ray diagnosis of fractures, fracture lines to determine the basic situation of displaced articular surface, in addition to the standard positive side, axial X-ray film, it should also take the calcaneus The Borden-bit X-ray film. parallel horizontal and frontal plane calcaneal taken CT, the need to implement spiral CT reconstruction.
1.3 Procedures To epidural anesthesia or spinal anesthesia, the patient prone position, the C-arm monitor, the digital X-ray film taken Broden, in the calcaneal tubercle person from the inside out
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