$heel fracture treatment$

$heel fracture treatment$

HEEL FRACTURE TREATMENT SKIN
HEEL FRACTURE TREATMENT SERIES

If the fracture fragments were small and did not involve the subtalar facet (Fig. For the other 11 patients, the operation was delayed from one to three days.Ĭontinuous epidural anesthesia was adopted, and the patients were positioned laterally. For two cases, the operation was performed 5 days after the injury because of the involved subtalar joint and swelling. Therefore, emergent operation was performed within 8 hours after the injury. However, there were no patients of the Achilles tendon injury.įor the two cases with obvious displacement of the fragments, symptoms of soft tissue irritation were expected. In two cases, the fracture fragments were relatively large with the fracture lines obliquely extending from below the Achilles tendon to the posterior articular facet of the subtalar joint. According to the Beavis classification 6, there were three cases of Beavis type I fracture and 12 cases of Beavis type II fracture. Pre‐operative X‐ray imaging of the lateral and axial projections of calcaneus, anteroposterior and oblique projections of the foot, and CT scanning with three‐dimensional reconstruction were taken. A total of three cases had a score of 4 to 6, while 12 cases had a score of 7 to 10 the average score was 7.8.

$heel fracture treatment$

All patients reported pain of moderate or worse degree. The visual analogue scale (VAS) was used for evaluating the pain caused by fracture.

HEEL FRACTURE TREATMENT SKIN

Bony eminence at the calcaneal tuberosity concomitant pale skin and blister formation were observed in two cases. Re‐ORIF with two 6.5 mm cannulated screwsĪll patients suffered from closed fracture with clinical symptoms such as heel pain, local swelling, ecchymosis formation, and difficulties in shoe‐wearing and walking. Right calcaneal tuberosity Soft tissue irritation Left calcaneal tuberosity Soft tissue irritation Left calcaneal tuberosity with involvement of subtalar facetĭebridement Peroneal artery perforator flap transplantation In this study, we retrospectively analyzed 15 cases of avulsion fracture of the calcaneal tuberosity in order to summarize the surgical strategies for this fracture and to analyze the reasons and countermeasure of postoperative implant failure and wound complications.

$heel fracture treatment$

HEEL FRACTURE TREATMENT SERIES

However, incorrect surgical indications and the surgery time for this type of fracture, or unsuitable implants, will frequently lead to a series of postoperative complications such as skin flap necrosis and implant failure, which may cause nonunion or malunion of calcaneal tuberosity fractures and affect the early ambulation 4, 5.

$heel fracture treatment$

Early surgical treatment helps to reduce the incidence of soft tissue necrosis and restore the normal functions of the triceps surae and the foot, which is of great significance for the rehabilitation 3. Surgical treatment is mainly applicable to patients with larger fracture fragments and significant displacement, especially for those with severe soft tissue irritation. The management for avulsion fracture of the calcaneal tuberosity can be classified into conservative or surgical treatment. However, the incidence of isolated calcaneal tuberosity avulsion fracture is low, accounting for only 1.3% to 2.7% of all calcaneal fractures 2. Avulsion fracture of the calcaneal tuberosity frequently occurs in the elderly and athletes 1. The calcaneal tuberosity is an important part of the heel which plays an important role in maintaining the foot arch and buffering the load.

$heel fracture treatment$

Heel fracture treatment