calcaneu跟骨骨折-在線瀏覽
2024-10-03 10:08本頁面
【正文】 tarfixed position and looking for normal skin turgor, as evidenced by wrinkling of the skin along the area of the lateral part of the foot. 第六頁，共二十九頁。 With the tourniquet inflated, the corner of the incision is brought directly down to bone. 第八頁，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。 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。 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。 this reduction is necessary to allow for reduction of the posterior facet without steric interference. 第十五頁，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 d
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