calcaneu跟骨骨折-wenkub.com
2024-10-03 10:08 本頁面
【正文】 sustentacular fragment (arrow).。 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。 Reduction of the anterolateral fragment is usually obtained by forceful manipulation with either a ball spike or periosteal elevator. A Kwire can then be placed in the anterolateral fragment into the intact medial sustentacular fragment (arrow). ANGLE OF GISSANE 第二十一頁，共二十九頁。 KWIRE FREER ELEVATOR After cleaning the fragment, the posterior facet is reduced anatomically with the aid of a Freer elevator in palpating the reduction, which is sometimes very difficult to see. This is held in place with a K wire 第十七頁，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。 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。 The wrinkle test, as described by Sanders, involves dorsiflexing the
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