$calcaneus fracture orthobullets$

$calcaneus fracture orthobullets$

#Calcaneus fracture orthobullets manual#
#Calcaneus fracture orthobullets tv#

distraction helps restore calcaneal width and height large threaded Steinman pin is placed through the posterior superior portion of the calcaneal tuberosity

#Calcaneus fracture orthobullets manual#

manual position across the calcaneal body no attempt is made to reconstruction the articular surface main goal is to regain calcaneal height and width and to take the calcaneus out of varus alignment may be indicated for patients with inadequate soft tissues (diabetics with frx blisters) where risk of dehissence is high Primary Subtalar Fusion for Calcaneal Fracture ref: Age, Gender, Work Capability, and Worker's Compensation in Patients with Displaced Intraarticular Calcaneal Fractures. non op patients returned to work at 273 days vs ORIF patients who returned at av 171 days they found that operatively treated fractures returned to work quicker (av 87 days sooner)

#Calcaneus fracture orthobullets tv#

in the review by Tufescu TV and Buckley R, the authors conducted a prospective cohort study of 169 patients who sustained intra-articular calcaneal fractures Operative Versus Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures : A Prospective, Randomized, Controlled Multicenter Trial. Intra-articular fractures of the calcaneum treated operatively or conservatively. when nonoperative treatment fails, consider sub-talar arthrodesis is often indicated may need to be supplemented by orthotic support with a custom-molded insole, rocker-bottom shoe, or ankle-foot orthosis historical treatment has included closed reduction (Bohler) w/ distraction and medial lateral compression early mobilization with protection from wt bearing is maintained until frx union occurs nondisplaced frx w/ mild or moderate decrease in Bohler's < are initially treated by early mobilization, avoidance of wt bearing for 6 weeks all frx are initially treated by strict bed rest, elevation, until acute swelling has subsided most crucial measurement is degree of continuity of posterior facet, which is best determined by CT scan with advanced age, diabetes, or questionable vascular exam, order non invasive vascular studies smoking patient who is unwilling to immediately quit smoking Wound healing complications in closed and open calcaneal fractures. Open calcaneal fractures: results of operative treatment. Open Fractures of the Calcaneus: Soft-Tissue Injury Determines Outcome. Compartment syndrome of the foot after intraarticular calcaneal fracture. The management of soft-tissue problems associated with calcaneal fractures. more common with severe comminuted fractures. compartment syndrome deep central compartment is involved most often in calcaneal frx Rowe: types 1-5 (types 4-5 intra-articular) frx extends thru posterior facet which becomes incongruous displaced supero-lateral fragment can impinge upon peroneal tendons tuberosity fragment tilts into varus and is pulled proximally by the Achilles tendon anteriorly frx may exit laterally, usually at angle of Gissane, but it can also involve the calcaneocuboid joint thalamic fragment: depressed portion of the posterior facet further axial loading may fracture tuberosity fragment creating a supero-lateral fragment of posterior facet

$calcaneus fracture orthobullets$

displaces superiorly & laterally resulting in incongruity of posterior facet and widening & shortening of heel tuberosity fragment (posterolateral fragment) Displacement of the Sustentacular Fragment in Intra-Articular Calcaneal Fractures it remains attached to the talus by strong deltoid ligament and by the interosseous ligament lies in the interosseous sulcus anteromedial (sustentacular) frag is rarely comminuted but varies in size sustentacular fragment (constant fragment) most of these involve the posterior facet (but can involve anterior and middle facets) 2 types of frx may occur: extra-articular and intra-articular: typically results from fall from height (see mechanism)

$calcaneus fracture orthobullets$