【正文】 INTACT POSTERIOR FACET SECONDARY FRACTURE LINE TUBEROSITY ANTEROLATERAL FRAGMENT THALAMIC (SUSTENTACULAR) FRAGMENT DISPLACED POSTERIOR FACET 第三頁，共二十九頁。 PIN IN FIBULA PIN IN TALUS DISPLACED POSTERIOR FACET The lateral wall and displaced portion of the posterior facet of the calcaneus us removed. 第十四頁，共二十九頁。 內(nèi)容總結(jié) Preop lateral demonstrating joint depression type of fracture。 Lateral radiograph after initial plate fixation. 第二十五頁，共二十九頁。 In order to dissect directly on the calcaneus in a subperiosteal manner, significant tension should be developed by holding the heel inverted with the thumb and pulling directly laterally away from the foot with a sharp retractor held deep in the flap. 第十頁，共二十九頁。 ANTERIOR ACHILLES BORDER INCISION PERONEAL TENDONS FIFTH METATARSAL The incision is slightly curved and Lshaped, beginning just anterior to the Achilles, curving at the level of the skin color change, running parallel with the sole of the foot and then curving slightly up anteriorly at its distal extent. FIBULA 第七頁，共二十九頁。 The lateral wall fragments are pieced back as well as possible, given that they are sometimes minuted. 第二十二頁，共二十九頁。 FACET OF CALCANEUS。 TUB