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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