Calcaneal fracture is treated by both open reduction and closed reduction technique, we are going to show you both surgeries in video format, open reduction is shown in form of animations where we do plating and go through lateral approach. Watch out the open reduction of calcaneum below on you-tube in animation form below.
Now see the video of closed reduction of comminuted fracture of calcaneum with articular depression by one of the great surgeons of India Dr Anurag Shukla (M.S Orthopedic, M.Ch from U.K). While doing this surgery we come to know a very important fact which may be seen sometime. On seeing the X-Ray from lateral projection articular surface seems to be normal but x-ray from medial projection showed significant articular depression, thus both projections showed different pictures. This fact becomes very important when we used to do plating in calcaneum, we almost go through lateral approach, which can be misleading as we have shown from x-ray that’s
why we did surgery again after seeing x – ray from medial projection.
Steps of closed reduction include, first we reduced the fracture with the help of fracture reducing forceps, then we applied K-Wire so as to give temporary fixation to the calcaneam pieces. After that we permanently fixed the fracture with cancellous screw. In order to give immobilization to the ankle joint we need to fix it by external fixators. In order to do it we inserted k-wire in all metatarsals, calcaneum and tibia bone. Watch out the surgery below on you-tube.
Dr Anurag Shukla is one of the best orthopedic surgeons of India, he is gold medalist too, he has completed his M.Ch (ortho) from United Kingdom. He has written a book for the welfare of students preparing for Post Graduation Examination in India his book is ACROSS -A COMPLETE REVIEW OF SHORT SUBJECTS published by Jaypee publishers you can buy this book at ifibeam.com.