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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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1 "Hybrid internal fixation"
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Case Report
Avulsion Fracture of Calcaneal Tubercle Treated with Cannulated Cancellous Screws and Wire: Surgical Technique
Chang Ho Yi, Jin Rok Oh
J Korean Fract Soc 2011;24(3):262-266.   Published online July 31, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.3.262
AbstractAbstract PDF
The incidence rate of calcaneal fracture consists about 2% of all fractures, and, of the fracture, calcaneal tubercle avulsion fracture is known to be rare. To treat non-displaced calcaneal tubercle avulsion fracture, conservative treatment such as cast fixation is applied. However, most cases accompany displacement of the avulsion fragment, and, usually, surgery is necessary to treat the displaced fracture. Although surgical fixation simply by cancellous screw or tension wire is widely used, fixation failure is potential complication in this method. Thus, this study wants to introduce a prospective and useful method that further strengthens the calcaneal fixation by using both cannulated screw and tension band wiring.
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