[Value of a direct approach to the calcaneum].
The authors describe an approach to the calcaneus: the incision follows the Achilles tendon and curves anteriorly between the lateral and plantar skin of the foot. The subtalar joint is opened using a Müller distractor, with one pin in the tibia and the other in the calcaneus. Sixty-one crush fractures of the thalamus were treated using this approach. There were 6 cases with skin problems; in 4 cases the skin necrosis was limited. This approach is useful in all cases: it provides excellent exposure of the subtalar joint, making a precise reduction of the fracture possible. When a distractor is used, varus of the calcaneus should first be reduced.
Jarde
O
O
Service d'Orthopĕdie Traumatologie, Centre Hospitalier Universitaire, Hôpital nord, Amiens, France.
Modaine
J
J
Trinquier
J L
JL
Bonhome
P
P
Vives
P
P
D016512:Ankle Injuries / Q000601:surgery*; D000843:Ankle Joint / Q000601:surgery; D002111:Calcaneus / Q000601:surgery*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D013514:Surgical Procedures, Operative / Q000379:methods
Intérêt d'une voie d'abord directe du calcanéum.