Taywade Shounak, Kekatpure Aditya L, Awasthi Abhiram, Salwan Ankur, Pisulkar Gajanan
Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Orthopedic Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Aug 8;15(8):e43147. doi: 10.7759/cureus.43147. eCollection 2023 Aug.
Percutaneous screw fixation is a good modality for operative management of extra-articular and some intra-articular fractures of the calcaneum amenable to closed reduction. Tongue-type calcaneal fractures with a dislocated posterior facet are usually treated with percutaneous fixation. When treating calcaneal fractures with substantial soft tissue compromise, particularly open fractures, percutaneous reduction techniques are crucial. They also provide patients with local or systemic contraindications to open reduction with a therapeutic option. We describe the intraoperative positioning of the foot using a lithotomy stirrup during percutaneous fixation of the calcaneal fractures with minimum manipulation of the foot and C-arm and consistent imaging.
经皮螺钉固定是治疗跟骨关节外骨折及部分可闭合复位的关节内骨折的一种良好手术方式。伴有后关节面脱位的舌形跟骨骨折通常采用经皮固定治疗。在治疗伴有严重软组织损伤的跟骨骨折时，尤其是开放性骨折，经皮复位技术至关重要。它们还为有局部或全身禁忌证而无法进行切开复位的患者提供了一种治疗选择。我们描述了在经皮固定跟骨骨折过程中使用截石位马镫对足部进行术中定位的方法，该方法对足部和C形臂的操作最少且成像一致。
