calcaneu跟骨骨折(完整版)
【正文】 ROSITY ANTEROLATERAL FRAGMENT THALAMIC (SUSTENTACULAR) FRAGMENT DISPLACED POSTERIOR FACET 第三頁，共二十九頁。 TENSION The tension as developed allows for easy dissection in a subperiosteal manner, with a knife that is held essentially parallel with the bone. Many 15 blades will be necessary in order to dissect out the entire calcaneus. 第十一頁，共二十九頁。 KWIRE FREER ELEVATOR Once the reduction is confirmed under direct vision and fluoroscopy, it is fixed with cortical lag screws (next image). The fracture is anatomically reduced and visible with forceful inversion of the heel. 第十八頁，共二十九頁。 The closure is exceedingly important and must be done in several layers. The deep fascia must be repaired to the periosteum of the flap with interrupted sutures. 第二十六頁，共二十九頁。 DRAIN 第二十九頁，共二十九頁。 Intraoperative plain radiographs in the lateral and AP plane demonstrate reduced calcaneus. 第二十八頁，共二十九頁。 The lateral xray demonstrating Kwire holding the tuberosity in position. Also note a Kwire in the area of the angle of Gissane, holding the anterolateral fragment reduced. 第二十頁，共二十九頁。 LATERAL PROCESS OF TALUS Closeup view demonstrating that with flap elevation the lateral process and posterior facet
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