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Treatment of Secondary Soft Tissue Compromised Calcaneus Fractures Using a Cannulated Screw and Simple Cerclage Wiring: A Report of Two Cases
J Korean Foot Ankle Soc 2017;21:165-169
Published online December 15, 2017;  https://doi.org/10.14193/jkfas.2017.21.4.165
© 2017 Korean Foot and Ankle Society

Junkyom Kim, Jae Wan Suh

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea
Correspondence to: Jae Wan Suh
Department of Orthopedic Surgery, Dankook University College of Medicine, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Korea
Tel: 82-41-550-3950, Fax: 82-41-556-0551, E-mail: jwansuh@gmail.com
Received October 25, 2017; Revised November 3, 2017; Accepted November 6, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Secondary soft tissue injuries can occur from the pressure of the displaced fragment of posterior calcaneal tuberosity in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The soft tissue injury can be prevented by immediate reduction of the displaced fragments. Various techniques can be used to fix the fracture fragments, but the stability of fixation and minimal invasiveness to soft tissue should be considered. This paper reports the successful outcomes of patients with soft tissue compromises in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The fixation technique of a large cannulated screw and simple cerclage wiring is believed to be a useful surgical option for the treatment of secondary soft tissue compromised calcaneal fractures.
Keywords : Calcaneus, Avulsion fracture, Soft tissue injury, Bone screw, Bone wire


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