Poking reduction hollow screw fixation of calcaneal fractures.docVIP

 PAGE \* MERGEFORMAT 8 Poking reduction hollow screw fixation of calcaneal fractures [Abstract] Objective: To investigate the poking reduction hollow screw fixation of calcaneal fractures application METHODS: October 2006 April - 2008 Kirschner wire poking reduction using hollow screw fixation of calcaneal fractures in 24 patients ( 27 feet), intraoperative C-arm fluoroscopy with Kirschner wires poking reduction and manual reduction of calcaneal fractures, articular surface flat and to restore the height and width of the calcaneus, calcaneal tubercle to correct joint angle (Bohler angle), reset satisfaction of the needle positioning percutaneous cannulated screw fixation. Results: The patients (12 + -8) months were followed up, Sanders Ⅱ, Ⅲ type calcaneal fractures, according to the Maryland foot score criteria: excellent in 20 feet , good in 5 feet, 2 feet, excellent rate of 92.6% Conclusion: poking reduction hollow screw fixation of calcaneal fractures in the clinical results were satisfactory. [Keywords] calcaneus, fracture, screws, fracture reduction and internal fixation Weight-bearing heel and walking in humans play an important role. Calcaneal fractures is the most common tarsal bone fracture, accounting for about 2% of body fractures, all 60% of tarsal bone fracture [1], and more from falls, foot ground, heel suffered due to the vertical impact, Sanders Ⅰ fracture more conservative treatment, while Sanders Ⅱ, Ⅲ, Ⅳ many advocates of surgical treatment of fractures [2] since October 2006 March 2008 April using g s needle poking reduction hollow screw fixation of calcaneal fractures in 24 cases, results were satisfactory, the report is as follows. 1 Materials and Methods 1.1 General Information Choose calcaneal fractures were 24 cases (27 feet), including 21 males and 3 females, both feet in 3 cases, one foot in 21 cases, aged 17 to 63 years, length of stay 6 ~ 15 d, 10 hours after the injury to surgery h ~ 7 d, the operation time: 1 h ~