锁定角钢板固定Sanders III型跟骨骨折1例

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2022-01-01 DOI:10.5937/afmnai39-33264
M. Mladenović, S. Milenkovic, P. Stojiljković, Andrija Krstić
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引用次数: 0

摘要

介绍。跟骨是跗骨,在将重量从小腿通过踝关节转移到前脚和脚趾方面起着重要作用。它参与足部内外纵弓的形成,在行走和转移体重方面起着重要作用。跟骨骨折最常发生在跳跃、高处坠落,或者在交通事故中较少发生。跟骨骨折可以是关节外骨折和关节内骨折。关节内骨折可完全损伤关节表面,导致足部畸形和不动。当整个关节面破裂、畸形和足部无力时,它们可以是关节外和关节内的。病例报告。这个病例报告了一个40岁的男性与关节内跟骨骨折。他从3米高处坠落受伤,关节内骨折类型为IIIAB,一条骨折线向外侧延伸,另一条骨折线在跟骨后突中央。手术在受伤后的第六天进行。将制备好的跟骨锁定钢板应用海绵螺钉固定于保存相对完好的关节碎片:talentaculum、跟外侧结节、跟骨结节。这样,我们确保了修复碎片的位置,然后我们在健康的骨组织内放置了4个海绵螺钉,使用了这个钢板。通过这个手术,跟骨轴,即内翻畸形,高度,宽度,长度和骨的角度(Bohler's和Gissane's角)被纠正。从第一天开始,患者开始移动脚趾,第三天患者开始移动脚踝,并开始在腿部没有支撑的情况下借助道具行走。结论。跟骨关节内骨折时,Bohler角的术前值与损伤的严重程度和骨折碎片的移位有显著的相关性。手术的目的是恢复跟骨后关节面,避免软组织感染,形成正常的足形和位置。
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Sanders type III calcaneal fracture fixed with a locking angular plate: A case report
Introduction. The calcaneus is a tarsal bone which plays a major role in transferring weight from the lower leg down through the ankle joint onto the forefoot and toes. It participates in the formation of the outer and inner longitudinal arch of the foot and has a significant role in walking and transferring body weight. Calcaneal fractures most often occur by jumping, falling from a height, or less often, in traffic accidents. Calcaneal fractures can be extra-articular and intra-articular. Intra-articular fractures can entirely damage joint surfaces, which results in deformity and immobility of the foot. They can be extra-articular and intraarticular, when disruption of the entire articular surfaces, deformity, and weakness of the foot occur. Case report. This case report presents a 40-year-old male with an intra-articular calcaneal fracture. He was injured by falling from a height of 3 meters and sustained an intra-articular fracture type IIIAB where one fracture line went laterally and the other centrally over the posterior calcaneal facet. Surgery was performed on the sixth day after the injury. The prepared locking plate for calcaneus was adapted and fixed with spongy screws in relatively preserved joint fragments: sustentaculum tali, tuberositas lateralis calcanei and tuber calcanei. In this way, we ensured the position of the repaired fragments, and then we placed 4 more spongy screws inside the healthy bone tissue, which was enabled with the use of this plate. With this procedure, the calcaneal axis, i.e. the varus deformity, height, width, length and angles of the bone (Bohler's and Gissane's angle) were corrected. From day one, the patient started to move his toes, and on the third day the patient started to move the ankle and began to walk with the help of props with no support on the leg. Conclusion. The preoperative value of Bohler's angle is a significant correlation between the severity of the injury and displacement of fragments in intra-articular calcaneal fractures. The goal of the surgery was to restore the posterior calcaneal articular facet, avoid soft tissue infection and form a normal shape and position of a foot.
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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