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HOME > J Musculoskelet Trauma > Volume 24(3); 2011 > Article
Surgical Technique
Avulsion Fracture of Calcaneal Tubercle Treated with Cannulated Cancellous Screws and Wire: Surgical Technique
Chang Ho Yi, M.D., Jin Rok Oh, M.D.
Journal of the Korean Fracture Society 2011;24(3):262-266.
DOI: https://doi.org/10.12671/jkfs.2011.24.3.262
Published online: July 15, 2011

Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Address reprint requests to: Jin Rok Oh, M.D. Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, 162, Ilsan-dong, Wonju 220-701, Korea. Tel: 82-33-741-1355, Fax: 82-33-746-7326, jroh@yonsei.ac.kr
• Received: August 16, 2010   • Revised: March 15, 2011   • Accepted: May 3, 2011

Copyright © 2011 The Korean Fracture Society

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  • The incidence rate of calcaneal fracture consists about 2% of all fractures, and, of the fracture, calcaneal tubercle avulsion fracture is known to be rare. To treat non-displaced calcaneal tubercle avulsion fracture, conservative treatment such as cast fixation is applied. However, most cases accompany displacement of the avulsion fragment, and, usually, surgery is necessary to treat the displaced fracture. Although surgical fixation simply by cancellous screw or tension wire is widely used, fixation failure is potential complication in this method. Thus, this study wants to introduce a prospective and useful method that further strengthens the calcaneal fixation by using both cannulated screw and tension band wiring.
  • Key words: Calcaneus fracture, Avulsion fracture, Internal fixation, Hybrid internal fixation
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Fig. 1
(A) The picture taken in the operating room of a 72-years old female shows the avulsion fracture of calcaneal tubercle.
(B) Open reduction and internal fixation was done by using 2 cannulated screws and wires.
jkfs-24-262-g001.jpg
Fig. 2
The initial simple radiograph taken in the emergency room of a 72-years old female shows the avulsion fracture of calcaneal tubercle.
jkfs-24-262-g002.jpg
Fig. 3
Open reduction and Internal fixation was done with 2 cannulated screws and wires 1 day after the injury.
jkfs-24-262-g003.jpg
Fig. 4
At postoperative 10 weeks, findings of bony union were seen in plain radiograph.
jkfs-24-262-g004.jpg
Fig. 5
Initial radiograph of 68-eyars old female showed fracture of lateral malleolus (A) and the avulsion fracture of calcaneal tubercle (B).
jkfs-24-262-g005.jpg
Fig. 6
Immediate postoperative radiograph after closed reduction and internal fixation of lateral malleolus and open reduction and internal fixation of calcaneal tubercle.
jkfs-24-262-g006.jpg
Fig. 7
At postoperative 13 weeks, follow up radiograph showed bony union of calcaneus.
jkfs-24-262-g007.jpg

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        Avulsion Fracture of Calcaneal Tubercle Treated with Cannulated Cancellous Screws and Wire: Surgical Technique
        J Korean Fract Soc. 2011;24(3):262-266.   Published online July 31, 2011
        DOI: https://doi.org/10.12671/jkfs.2011.24.3.262
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      Avulsion Fracture of Calcaneal Tubercle Treated with Cannulated Cancellous Screws and Wire: Surgical Technique
      Image Image Image Image Image Image Image
      Fig. 1 (A) The picture taken in the operating room of a 72-years old female shows the avulsion fracture of calcaneal tubercle. (B) Open reduction and internal fixation was done by using 2 cannulated screws and wires.
      Fig. 2 The initial simple radiograph taken in the emergency room of a 72-years old female shows the avulsion fracture of calcaneal tubercle.
      Fig. 3 Open reduction and Internal fixation was done with 2 cannulated screws and wires 1 day after the injury.
      Fig. 4 At postoperative 10 weeks, findings of bony union were seen in plain radiograph.
      Fig. 5 Initial radiograph of 68-eyars old female showed fracture of lateral malleolus (A) and the avulsion fracture of calcaneal tubercle (B).
      Fig. 6 Immediate postoperative radiograph after closed reduction and internal fixation of lateral malleolus and open reduction and internal fixation of calcaneal tubercle.
      Fig. 7 At postoperative 13 weeks, follow up radiograph showed bony union of calcaneus.

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      Avulsion Fracture of Calcaneal Tubercle Treated with Cannulated Cancellous Screws and Wire: Surgical Technique
      J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
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