calcaneu跟骨骨折(專業(yè)版)
【正文】 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(yè)，共二十九頁(yè)。 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(yè)，共二十九頁(yè)。 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(yè)，共二十九頁(yè)。 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(yè)，共二十九頁(yè)。 DRAIN 第二十九頁(yè)，共二十九頁(yè)。 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(yè)，共二十九頁(yè)。 The 30 degree semicoronal and axial CAT scans of the fracture. TALUS DISPLACED POSTERIOR FACET
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