Summary
A new technique of reduction based on the anatomical structure of the calcaneum was first described in 1974. Two pins were inserted, one into the posterior surface and the other into the plantar surface of the bone. This allowed early mobilisation of the foot. The method can be used in all types of fractures including comminuted fractures of the tuberosity, the tongue type, the central depression type, the severe tongue type, the severe depression type and unclassified severe crush fractures. Complete anatomical reduction was obtained in 58 out of 72 fractures (77%) and 56 out of 64 patients (87.5%) were classified as “very good” by the Maxfield assessment.
In this paper the authors discuss their method of management of displaced fractures of the thalamic part of the calcaneum.
Résumé
Une nouvelle technique de réduction basée sur les caractéristiques anatomiques du calcanéum a été décrite pour la première fois en 1974. Deux broches sont mises en place, l'une dans la partie postérieure de l'os, l'autre dans sa région plantaire. Ceci permet une mobilisation précoce du pied. Cette méthode peut être utilisée dans toutes les variétés de fractures, y compris les fractures comminutives de la grosse tubérosité et de la région thalamique ainsi que les fractures par écrasement. Une réduction véritablement anatomique a été obtenue dans 58 des 72 fractures (77%) et chez 56 des 64 malades (87,5%), les résultats ont pu être classés «Très bons» selon la cotation de Maxfield.
Dans cet article les auteurs discutent leur méthode de traitement des fractures du thalamus.
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Nakaima, N., Yamashita, H., Tonogai, R. et al. A technique of dynamic reduction for displaced fractures of the thalamus of the calcaneum. International Orthopaedics 7, 185–190 (1983). https://doi.org/10.1007/BF00269504
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DOI: https://doi.org/10.1007/BF00269504