calcaneu跟骨骨折(已改無錯字)
2024-10-03 10 本頁面
【正文】 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。 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，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。 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，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。 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。
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