کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2719321 1565525 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical Treatment of Calcaneal Avulsion Fracture in Elderly Patients Using Cannulated Cancellous Screws and Titanium Wire
ترجمه فارسی عنوان
درمان جراحی شکستگی آولشن پاشنه در افراد مسن با استفاده از پیچ های کانولیتد اسفنجی و سیم تیتانیوم
کلمات کلیدی
تاندون آشیل؛ پاشنه؛ کانول پیچ اسفنجی؛ جااندازی باز و فیکساسیون داخلی؛ سیم تیتانیوم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

Avulsion fractures of the calcaneus are relatively uncommon and are seen most frequently in elderly or osteoporotic patients. A surgical method that avoids displacement of the avulsed fragment after fixation has not been developed. We report the cases of 3 patients (a 73-year-old male, an 85-year-old male, and an 81-year-old female) treated by open reduction and internal fixation using titanium wire and cannulated cancellous screws. The posterior approach was used by way of a vertical midline incision. The fracture was fixed with 2 screws, and then a titanium wire was passed through the holes of the cannulated screws. A small incision on the lateral side of planter was added for the exit and return of the wire. The wire knot was bent inside the proximal Achilles tendon bursa in 2 patients and was directed to the plantar side in 1 to avoid irritation. Bony union was achieved without repeat displacement of the fragment in all 3 patients. Normal ankle function was restored, and the patients recovered the activities of daily living almost to the original level. Although an additional plantar incision is required, this surgical technique provides strong internal fixation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Foot and Ankle Surgery - Volume 55, Issue 1, January–February 2016, Pages 157–160
نویسندگان
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