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EB

EB

ONLINE

[Česko] : Grada, 2018

1 online zdroj (128 stran)

ISBN 978-80-247-4421-6 (e-kniha ; pdf)

ISBN 978-80-271-0887-9 (print)

slovenština

The textbook presents a chronological overview covering anatomy, biomechanics, diagnostics, classifications, followed by clinical chapters on individual operative techniques of treatment of calcaneal fractures. Each chapter reflects author’s personal clinical experience and views..

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FOREWORD 7 // 1 INTRODUCTION 9 // 2 FUNCTIONAL ANATOMY 11 // 3 BIOMECHANICS OF THE SUBTALAR JOINT 17 // 4 INCIDENCE AND MECHANISM OF INJURY 19 // 4.1 Incidence 19 // 4.2 Mechanism of injury 19 // Analysis of mechanism of injury in patients operated on in the period of 2007-2014, at the Department of Trauma Surgery of the Slovak Medical University (KUCH SZU) in Bratislava, Slovakia 19 // 5 PATHOANATOMY OF FRACTURES 23 // 5.1 Fracture patterns and the course offracture lines 23 // 5.2 Factors influencing the course and number of fracture lines 23 // 5.3 Primary and secondary fracture lines 25 // 5.4 Major fragments 26 // 6 DIAGNOSIS 27 // 6.1 Patient’s medical history 27 // 6.2 Clinical examination 27 // 6.3 Radiographic diagnosis 28 // 6.3.1 Standard radiographic projections 29 // 6.3.2 Other radiographic views 31 // 6.4 Computed tomography, 3D reconstruction 32 // 7 CLASSIFICATIONS 35 // 7.1 Radiography based classifications 35 // 7.2 CT based classifications 37 // 8 SCORING SYSTEMS 41 // 9 THERAPY 45 // 9.1 Non-operative treatment 45 // 9.1.1 Historical review 45 // 9.1.2 Indications for non-operative treatment 45 // 9.1.3 Non-operative treatment used at our institution 46 // 9.2 Operative treatment 47 // 9.2.1 Historical review 47 // 9.2.2 Non-operative versus operative treatment 48 // 9.2.3 Factors influencing the choice of operative technique 49 // 9.2.4 Timing of surgery 50 //

9.3 Open reduction and internal fixation (ORIF) 51 // 9.3.1 ORIF indications 52 // 9.3.2 ORIF indication criteria used at our institution 52 // 9.3.3 ORIF contraindications used at our institution 53 // 9.3.4 ORIF - surgical approaches 53 // 9.4 MIO (minimally invasive osteosynthesis) 69 // 9.4.1 MIO in tongue type fractures 69 // 9.4.2 MIO in joint-depression type fractures 71 // 9.5 External fixation 73 // 9.6 MIO versus ORIF 75 // 10 INTRAOPERATIVE CONTROL 77 // 10.1 Two-dimensional intraoperative control 77 // 10.2 ISO-C-3D image intensifier 78 // Treatment of calcaneal fractures // 5 // 10.3 Arthroscopically assisted procedure 78 // 11 POSTOPERATIVE CARE AND IMPLANT REMOVAL 81 // 11.1 Postoperative care after ORIF 81 // Wound care 81 // Immobilization 81 // Antibiotic and thromboembolic prophylaxis 81 // Antiedema therapy 81 // Rehabilitation 81 // Weight bearing of the limb 82 // Radiographic control and CT examination 82 // 11.2 Postoperative care after percutaneous reduction and fixation 82 // 11.3 Postoperative care after external fixation 82 // 11.4 Implant removal 82 // Examination before implant removal 83 // 12 COMPLICATIONS IN TREATMENT OF CALCANEAL FRACTURES 85 // 12.1 Iatrogenic complications 85 // 12.1.1 Neurological complications 85 // 12.1.2 Injuries to tendons 86 // 12.1.3 Choice of an improper operative technique 86 // 12.3 Complications caused by the patient 86 // 12.4 Infectious complications 86 // 12.5 Compartment syndrome of the foot 87 // 12.6 Algoneurodystrophic (Sudeck’s) syndrome 89 //

13 POLYTRAUMA AND CALCANEAL FRACTURES 91 // 14 OPEN FRACTURES 95 // 15 ATYPICAL INTRA-ARTICULAR CALCANEAL FRACTURES 97 // 15.1 Transcalcaneal talonavicular dislocation 97 // 15.2 Calcaneal fracture-dislocations 99 // 15.2.1 Lateral dislocation 99 // 15.2.2 Medial dislocation 100 // 15.3 Intra-articular fractures of the anterior process 101 // 15.4 Beak-type fractures 102 // 16 EXTRA-ARTICULAR CALCANEAL FRACTURES 105 // 16.1 Calcaneal tuberosity fractures (avulsion) 105 // 16.2 Extra-articular fractures of the body of the calcaneus // and the sustentaculum 105 // 17 OUR GROUP OF PATIENTS 109 // 17.1 Characteristics 109 // 17.2 Distribution offracture patterns in the series 109 // 17.3 Choice of the operative technique 110 // 17.4 Surgical approaches, types of internal fixation and timing of surgery . . 110 // 17.5 Evaluation of results 112 // 17.6 Complications encountered in the cohort 116 // 17.7 Summary of the results and the author "s recommendations 117 // 17.7.1 Summary of the results 117 // 17.7.2 The author’s recommendations 119 // CONCLUSION 121 // REFERENCES 123