calcaneu跟骨骨折(更新版)
【正文】 of the talus is identified. A Kwire is placed into the talar body from the lateral process and used to retract the flap. 第十三頁，共二十九頁。 Pillows are placed between the legs and enough sheets behind the down leg such that the operative leg lies parallel with the ground and at the level of the patient’s hip. 第五頁，共二十九頁。 The patient is positioned carefully in the lateral decubitus position with pads under the axilla and downside peroneal nerve. The down leg is placed forward against and parallel with the anterior edge of the bed. 第四頁，共二十九頁。 PERONEAL TENDONS After the flap is pletely elevated, the peroneal tendons are visible at the distal extent of the flap. Care must be taken not to damage these tendons as the dissection progresses distally. 第十二頁，共二十九頁。 POSTERIOR FACET TALUS POSTERIOR FACET REDUCTION A head lamp can direct light against the posterior facet of the calcaneus by reflecting it off the posterior facet of the talus. 第十九頁，共二十九頁。 DRAIN The sutures should all be placed and tagged, then closed from the distal extent of the wound towards the apex to continually remove tension from the flap during the closure. The closure should be performed over a Hemovac drain. 第二十七頁，共二十九頁。
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