الفهرس | Only 14 pages are availabe for public view |
Abstract • No single modality of treatment can be applied to all intra articular fractures of the calcaneus. Treatment must be based on the pattern of the fracture and the health of the patient. • An infirm patient is probably best managed with elevation of the limb for two or three days, followed by range of motion excercises and non-weight-bearing for two to three months. • For a healthy, physiologically young patient who has a displaced intra-artjcular fracture of the subtalar joint, one should consider open reduction and itnernal fixation. • When an active, healthy patient has a severely comminuted and displaced fracture involving only the subtalar joint, a subtalar arthrodesis should be considered after the acute swelling has subsided. To understand the pattern of the fracture better, to choose the proper treatment and to assess the results treatment adequately, future studies must use a classification that is based on computed tornographic assessment, not only of the subtalar joint but also of the calcaneocuboid joint. The surgeon treating a fracture of the calcaneus oLlen finds him self on the horns of a dilemma, He may by able to minimize or prevent a persistently stiff and painful foot by eleciting a treatment program of early mobilization without reduction, only to encounter the late complications conseuent to the deformity of the fracture. |