


Volume 20 No 13 (2022)
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Displaced Calcaneal Fractures, External Fixation with Supercutaneous Calcaneal Locking Plate
Ahmed H. Alsayyad, Hazem B. Elsebaie, Mohamed Khaled Elgendy , Mohammed Gamal Taher
Abstract
Calcaneal fractures continue to be the most difficult fractures for orthopaedic surgeons to
treat. It accounts for 2% of all fractures and almost 60% of all tarsal injuries. Male
industrial employees are disproportionately impacted by traumatic accidents, which have
a large economic cost owing to long-term incapacity. The calcaneum maintains foot and
ankle biomechanics as well as muscle, tendon, ligament, and bone coordination. The
tissues of the foot, ankle, and lower extremities provide effective force absorption. The
chief clinical manifestations include pain, swelling, discolouration around the foot and
ankle, oedema, and incapacity. A computed tomography (CT) scan is an excellent regular
method for assessing the three-dimensional anatomy of an injury by producing pictures
of the coronal, transverse, and sagittal planes. Patients with calacaneal fractures were
initially treated conservatively with early mobility exercises. The foot is cast in neutral
flexion to prevent contracture and is wrapped in an elastic compression stocking to
reduce dependent edoema. This, however, may cause complications. Open reduction and
internal fixation of intra-articular calcaneal fractures is a minimally invasive surgery that
seldom has an adverse effect on the local circulatory system. The lateral extensile
technique is more commonly employed than the medial one to decrease the sequelae of
peroneal tendinitis and devascularization of the anterior skin flap while preserving the
sural nerve.
Keywords
Calcaneal Fractures; Biomechanics; Computed Topography; External and Internal Fixation; Operation.
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