Clinicalobservationonhomemadethecalcaneusfolderwithosseouspinpokingtheresetofcalcaneal

1、Cli nical observati on on homemade thecalca neus folder with osseous pin pok ing thereset of calca neal fracturesWrite papers website:Keywords: homemadecalca neus folder pry pull the en tirecomplex internalfixati onofcalca nealfractures0 In troducti onCalca neal fractures com mon cli nical, physiolo

2、gical arch of the foot after fracture morphology and structure of disorder, with away from the joi nts of vary ing degrees of damage will directly affect the foot weight-bearingandwalki ng. The morphology and structure of the calca neus should be resumed as soon as possible after the fracture, reduc

3、e the the degree of damage with distanee, thus reduc ing the dysfu ncti on caused by malunion of calca neal fractures, calca neal fractures treatme nt there are still some con troversy 1, i n our departme nt from 1998 applicati ons homemade calca neus folder pry with the osseous pin pull reducti on

4、forthe treatme ntof calca neal fracturesin 136cases, with the method is simple, good efficacy, fewer complicati on s, less the cost of treatme nt, etc., the cli ni cal value, and achieved good results.i1 cli ni cal data1998 03/200606, hospitalorthopedic treatme nt of calca neal fractures 136 (male 1

5、04, female 32) patie nts, aged 17 to 58 (average 35.8 years old. The right side of the calca neus 76 cases of left calca neus of 52 cases, bilateral and eight cases of bone, by Paley Category: tongue-typefractures in 36 cases, the centralcollapse fractures of 65 cases of commi nu ted fracture of35 c

6、ases of fractureare affected articular surface,treatmentfor 7 days. we have designed a unilateralextrusi onwith bone fractures folder, the maincomp onents in clude: exte nd the screw fixed in the con vex (cushi oncon stituteplate, ano ther con vex steel plate toexte nd the screw rotati onal moveme n

7、t, the other end of the middle of a mountinghole with“ T”type spiralframeconn ectedto the compositi on,rotatio n, “ T”shaped frame can play a role in pressure treatments: epidural/ localanesthesia,whichever is the lateralpositi on(affectedside on),rout ine dis in fecti on shopdressingin the C-arm fl

8、uoroscopyextrusionoperationwidenedcalcaneusdeformityat the adjusted calcaneusfolder assistant rotate the“ T” frame hard to correct thecalcaneus diameter, to restore the original width of the calcaneal tubercle partial / (a certain avoid from the rear of the Achilles tendon / forward within the n ext

9、 into a 3.0 mm osseous pin to the collapse of the articular surface (about 2 3 cm pokingunder thepressure of the osseous pin, forced pla ntar flexi on of the forefoot, dual thumb squeeze arch to restore the articular surface, un til the X-ray observati on of the collapse of the calca neal articular

10、surface fully restored on the bit, see theBohler angle of 30 to 45 degrees into the osseous pin fixed in the talus, pin the tail to remain in the skin shoe plaster fixed. postoperative radiograph. weight gradually after 4 wk after fracture healing after removal of plaster boots. Results There were 1

11、36 cases of patientswithcomplete data, 134 cases were followed up for 4 to 18 (average 8mo. In additi on to two cases of Achilles tendon pressuresore necrosis healed by dressing3 mo, theremai ningpatie ntshad no in fecti on,fracture heali ng,removal of plaster 6 to 8 weeks. therapeuticevaluation:exc

12、ellent (no pain, no limp, can be restored the original work of 108 cases. good (walking fatigue, pain, limping, obvious, can meet the gen eral liv ing requireme nts of 20 cases. poor (walk ing pain, claudicati on affect the no rmallife), 8 cases of good rate of 94.1%.2 DiscussionCalcaneal fractures

13、are mostcom monin thehuma n foottarsal bone fractures,calca nealfractures by 85% to 90% for in tra-articularfracture, due to the the calca neus special structure lead to treatment difficulties. Calcaneal cancellousbone by thevertical impact easily lead to compressi on, calca neal above, the first th

14、ree articular surface, articular surface arranged in order, after the articular surface, in the articular surface is set out from the sudde n, respectively, formed with the articular surface of the subtalar joint, whe n from eno ugh to follow the vertical exter nal force, high falli ng, the first fo

15、rce is the lateral calca neal set away from the conflict,resultingin extra-articularfracture, itscon ti nu ous force to the cen tral tria nglethat severecompressi on from the un der side of the articular surface before tilti ng . Share the free paperforces in different directions, resulting in the t

16、he calca neusdiffere nt types of fracture 2. Paleyclassification: shear fracture, tongue fracture, the centralcollapse fracture,com minu tedfracture of four kin ds.through the correct evaluationof calcaneal fractures, aclear fracture block size, shape and shift directi on, after learning about joint

17、s,set away from the sudden heelshape, poki ng reducti on and restore joint, to the greatest exte ntface cli nical study showed that in tra-articularcalcanealfractures, an important part of therapeuticpurposes is the restorationof calcaneal tuberosity anglecorrected, restorethe articularsurface of th

18、e flat,calcaneal height and width 3. we designed for external use reset calcaneus folder combines the advantages of conservative treatmentand surgical treatment of theprinciples of treatment,with closed extrusion reset andpractices in tegrati on. calca neus smooth resumpti on of the no rmal an atomy

19、 of a Bohler an gle back to no rmal we have adopted the calca neus folder bone circular n eedle pok ing the reset, and percuta neous fixati on of calca neal fractures, correctedBohler an gleand calca neal heightof thecalcaneus,and achievedsatisfactoryresults. The mainadvantageof this method: the exact effect of reset, theen tire complex and stro ng; tech no logy easy tooperate,the wholeprocess ofadjustme ntfracturescan beobserved in the X-ray monitoring completed, incision discomfort to patie nts, patie nts with early ambulatio n (no load) activities,significantlyreduced t