Fracture of the Calcaneus (Heel Bone) Fixation

What is Fracture of the Calcaneus (Heel Bone) Fixation?

A calcaneus fracture is a break in the calcaneus, the heel bone. These fractures are often caused by high-energy trauma, such as falls from height or car accidents. Fixation involves surgically repairing the broken bone fragments and stabilizing them with hardware to promote healing and restore function.

When is Surgery Necessary?

Surgery may be necessary when:
Displaced Fractures: When the broken bone fragments are significantly out of place.
Intra-articular Fractures: When the fracture extends into the subtalar joint (the joint between the calcaneus and talus).
Open Fractures: When the broken bone has pierced the skin.
Associated Soft Tissue Injuries: When there is significant damage to the surrounding soft tissues.
When non surgical treatment fails: When non surgical treatment does not give adequate results.

Types of Procedures

Open Reduction and Internal Fixation (ORIF): Surgical realignment of the bone fragments and fixation with screws and plates.
Percutaneous Pinning: Using small incisions and pins to hold the bone fragments in place.

Surgical Procedure (ORIF):

Anesthesia: General or regional anesthesia is used.
Incision: An incision is made on the outside or inside of the heel.
Fracture Reduction: The broken bone fragments are realigned.
Fixation: Screws and plates are used to stabilize the fracture.
Closure: The incision is closed with stitches or staples.

Recovery

Hospital Stay: A hospital stay is typically required.
Elevation and Ice: Elevation and ice are important to reduce swelling.
Pain Management: Pain medication is prescribed.
Non-Weight-Bearing: Strict non-weight-bearing is required for a period of time.
Physical Therapy: Rehabilitation is crucial for regaining ankle and foot strength and range of motion.
Activity Restrictions: Certain activities are restricted for several months.
Important Considerations:

Calcaneus fractures can be complex and challenging to treat.
Early and appropriate treatment is important to minimize long-term complications.

Disclaimer

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

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