May be shaping titanium plate fixation of calcaneal fracture of the calcaneus.docVIP

 PAGE \* MERGEFORMAT 11 May be shaping titanium plate fixation of calcaneal fracture of the calcaneus Of: Wei Shujie, Hesheng Ling, Qin Geng Li, Li Qin Hong, Huang Yi [Keywords:] fractures; titanium plate; fixation Fractures in the tarsal bone fracture, the most common, accounting for about 2% of the body fracture, which spread from the articular surface of the fracture with calcaneal fractures accounted for 75% [1]. Calcaneal shape and anatomical structure of the special nature of the treatment left heel pain often inappropriate, traumatic arthritis, flat feet and heel widening or other consequences, seriously affecting limb function, disability up to 20% to 30% [2]. With the development of science and technology and internal fixation materials improvements in our hospital from 1999 to 2007 with open reduction and internal fixation of calcaneal titanium plate, taken from the iliac bone graft for 32 cases of calcaneal fractures, satisfactory results are reported as follows. Clinical data 1. General Information The group of 32 patients, 28 males and 4 females, aged 18 to 59 years, mean 34.6 years; are falling from height injury; 17 patients with right foot, left foot in 15 cases, 2 cases in which both feet; according to Sanders type, in 13 cases, type 19 cases; surgery are used to shaping the anatomy of the lateral calcaneal incision fixation. 2. Surgical epidural anesthesia, pneumatic tourniquets on, lateral position, the affected side in the last. Are L-shaped incision with lateral heel, lateral malleolus and the Achilles tendon from between the downstream to the dorsal skin and foot intersection of the bottom skin, curved forward until the 5th phalanx at the base connection, this time to protect the sural nerve. incision along the sharp incision of soft tissue, the lateral wall directly to the periosteum of bone, parallel subperiosteal dissection to expose lateral wall of the calcaneus, the subtalar and calcaneocuboid joints. if necessary,