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[Thalamic fractures of the calcaneus. Indications and osteosynthesis technics].

The authors describe their therapeutical attitude as regards the thalamic fractures of heel, and distinguish two basic methods of surgical approach: reducing of thalamus and synthesis with only screws in the simple fractures; reducing of thalamus and restoration of the heel morphology by mtans of plate and screws in the complex fractures. They particularly report the satisfactory results got through the use of Lanzetta's plates, which, allowing a good reducting and a steady synthesis in the complex fractures also, permit an early mobilization.

Adult↗

Clinical application of computerized axial tomography (CAT) scanning of calcaneus fractures.

CAT scanning of calcaneal fractures with the 30 degree coronal or the transverse plane provides useful information not available on conventional roentgenograms. Joint alignment, displacement of fragments, and the integrity of the medial wall are key factors in deciding whether surgical reconstruction is indicated and what surgical approach to use--medial, lateral, or both. Examples of such information obtained on eight patients with calcaneal fractures is reported comparing CAT scan results to conventional roentgenograms. CAT scans can be used also with the foot immobilized in a cast.

Calcaneus↗