Calcaneus Fracture In Sanglah Hospital.
Calcaneus Fracture In Sanglah Hospital
A case report
I Gusti Bagus Arie Mahaputra Budiartha*, I Wayan Subawa**
*Resident of Orthopedic and Traumatology Departement, Sanglah General Hospital, Udayana University, Bali
**Staff of Orthopedic and Traumatology Departement, Sanglah General Hospital, Udayana University, Bali
Abstract: Calcaneus fracture management has been a source of controvercy for at least the last
century. These fracture present many obstacles to the surgeon. The irregular bony anatomy, the
complicated joint mechanics between the tarsal bones, and the delicate soft tissue made these
fracture a challenge. Ekstra articular or intra articular fracture have a same chance to do
conservative or operative treatment. The complication like wound dehiscence, calcaneal
osteomyelitis, post traumatic arthritis, increased heel width, loss of subtalar motion, peroneal
tendonitis, sural nerve injury, and chronic pain should be avoided.
Case: A 63 years old patient fell down into a septic tank hole which was under reconstruction
with 2 meters depth in kneel position and diagnose with closed fracture left calcaneus intra
articular. She also had a closed fracture supracondyler left femur and close fracture right tibia
plateu schatzer II. The operation was done 2 weeks after the accident and use a plate screw
fixation. The second case 57 years old fell down from a 3 meters tree with stand position.
Diagnose with closed fracture left calcaneus intra articular and closed fracture right cruris distal
third. she done the others fixation for calcaneus fracture use essex lopresti maneuver after
accident. After two different fixation we have the same result there is no wound dehiscense and
chronic pain.
Discussion: Significanly better result occurred in patient certain fracture groups undergoing
operative treatment. Women, patient with a lighter workload, patient not receiving workers
compensation, patient with higher initial Bohler angle (less severe initial injury). Open reduction
and internal fixation are generally performed use a thin plate that placed laterally and used as
buttress. Good result have been reported for fracture using percutaneous reduction essex lopresti
maneuver.
Conclusion: We report two case of calcaneus fracture with the same site, pattern fracture and
result but use a different operative treatment which is has successful surgery. Post operative
management includes early supervised subtalar range of motion exercises, non-weight bearing
for 8 to 12 weeks and good wound care is any factor of the success post operative result.
Keywords: Intra articular, thin plate, essex lopresti
A case report
I Gusti Bagus Arie Mahaputra Budiartha*, I Wayan Subawa**
*Resident of Orthopedic and Traumatology Departement, Sanglah General Hospital, Udayana University, Bali
**Staff of Orthopedic and Traumatology Departement, Sanglah General Hospital, Udayana University, Bali
Abstract: Calcaneus fracture management has been a source of controvercy for at least the last
century. These fracture present many obstacles to the surgeon. The irregular bony anatomy, the
complicated joint mechanics between the tarsal bones, and the delicate soft tissue made these
fracture a challenge. Ekstra articular or intra articular fracture have a same chance to do
conservative or operative treatment. The complication like wound dehiscence, calcaneal
osteomyelitis, post traumatic arthritis, increased heel width, loss of subtalar motion, peroneal
tendonitis, sural nerve injury, and chronic pain should be avoided.
Case: A 63 years old patient fell down into a septic tank hole which was under reconstruction
with 2 meters depth in kneel position and diagnose with closed fracture left calcaneus intra
articular. She also had a closed fracture supracondyler left femur and close fracture right tibia
plateu schatzer II. The operation was done 2 weeks after the accident and use a plate screw
fixation. The second case 57 years old fell down from a 3 meters tree with stand position.
Diagnose with closed fracture left calcaneus intra articular and closed fracture right cruris distal
third. she done the others fixation for calcaneus fracture use essex lopresti maneuver after
accident. After two different fixation we have the same result there is no wound dehiscense and
chronic pain.
Discussion: Significanly better result occurred in patient certain fracture groups undergoing
operative treatment. Women, patient with a lighter workload, patient not receiving workers
compensation, patient with higher initial Bohler angle (less severe initial injury). Open reduction
and internal fixation are generally performed use a thin plate that placed laterally and used as
buttress. Good result have been reported for fracture using percutaneous reduction essex lopresti
maneuver.
Conclusion: We report two case of calcaneus fracture with the same site, pattern fracture and
result but use a different operative treatment which is has successful surgery. Post operative
management includes early supervised subtalar range of motion exercises, non-weight bearing
for 8 to 12 weeks and good wound care is any factor of the success post operative result.
Keywords: Intra articular, thin plate, essex lopresti