Avulsion Fracture Of Calcaneus Research Articles

Treatment experiment of open reduction and internal fixation in avulsion fracture of calcaneus using artificial ligament

Treatment experiment of open reduction and internal fixation in avulsion fracture of calcaneus using artificial ligament

Operative treatment for the beak fracture and the avulsion fracture of calcaneus

Operative treatment for the beak fracture and the avulsion fracture of calcaneus

比較的まれな踵骨裂離骨折の１例

【はじめに】若年者に起こった踵骨裂離骨折で術後皮膚壊死を生じた1例を経験したので報告する．【症例】28歳女性．2005年11月21日，走行中に転倒し（受傷肢位不明）歩行困難となったため当院受診．左踵部に骨性の隆起を認め，単純 X 線にて踵骨アキレス腱付着部裂離骨折を認めた．同日，経皮的にスクリュー固定術を行った．術後は軽度尖足位でシーネ固定とした．術後，スクリュー刺入部とは異なる部位に皮膚壊死を生じた．局所のデブリードマンを行い治療し，創治癒までに12週を要した．骨癒合は良好に得られ現在特に支障なく仕事復帰もされている．【考察及び結論】本骨折は皮膚壊死や固定後の再転位などの合併症をおこしたとの報告が多く，自験例でも受傷当日に手術を行ったにも関わらず皮膚壊死を生じた．壊死部位が軽度尖足位としたためにできた皺の谷部分であったことから軽度尖足位シーネの影響も示唆された．

Avulsion Fracture of Calcaneus in Diabetic Patients

Avulsion Fracture of Calcaneus in Diabetic Patients

しょう骨隆起裂離骨折の２例

An avulsion fracture of the calcneous is rare, and we have treated two such cases. One case was a 52-year-old man, who had been treated for liver cirrhosis and diabetes mellitus for 4 years. He felt pain in the left heel while walking and was unable to walk. Radiographs showed osteoporosis and an avulsion fracture of the left calcaneus. Three weeks later, this fracture equally occurred in the right side. We have treated both cases conservatively. The other case was a 50-year-old woman, who had been conservatively treated for 3 weeks for the left 5th metatarsal bone fracture. She fell from bicycle in pes equinus position, and felt pain in the left heel and weakness of planter-flexion. Radiographs showed bone atrophy and an avulsion fracture of the calcaneus. At operation, the tendon was found to be entirely attached to the fragment, which was reduced and held by internal fixation. At present, they have no pain and no gait disturbance.