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Kalkaneusfrakturen

Calcaneus fractures

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Zusammenfassung

Frakturen des Kalkaneus treten i. Allg. im Zuge von Hochrasanztraumen auf, wobei komplizierte, dreidimensional verlaufende Frakturmuster entstehen. Eine chirurgische Behandlung ist für gewöhnlich bei dislozierten intrartikulären Frakturen indiziert, da so die Höhe, Breite und Gesamtstruktur des Kalkaneus sowie, nach Möglichkeit, die posterioren Gelenkfacetten wiederhergestellt werden können. Zudem kann im Fall einer posttraumatischen Arthritis zu einem späteren Zeitpunkt eine In-situ-Arthrodese vorgenommen werden. Der vorliegende Beitrag bietet eine kurze Besprechung der von uns bevorzugten Verfahren zum Management der Kalkaneusfrakturen.

Abstract

Fractures of the calcaneus generally occur in the setting of high-energy trauma, resulting in complex, three-dimensionally oriented fracture patterns. Surgical treatment is typically indicated for displaced intra-articular fractures, permitting restoration of calcaneal height, width and overall morphology, in addition to the posterior facet articular surface where possible, and enabling late in situ arthrodesis as a means of salvage in the event of post-traumatic arthritis. The present article briefly discusses our preferred methods for the management of calcaneal fractures. An English full text version of this article is available at SpringerLink as supplemental.

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Authors and Affiliations

  1. Division of Foot & Ankle Surgery, Florida Orthopaedic Institute, Foot & Ankle Fellowship, 13020 Telecom Parkway North, 33637, Tampa, Florida, USA

    M.P. Clare M.D.

  2. Florida Orthopaedic Institute, Tampa General Hospital, Tampa, Florida, USA

    R.W. Sanders M.D.

Authors
  1. M.P. Clare M.D.
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  2. R.W. Sanders M.D.
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Correspondence to M.P. Clare M.D..

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Die englische Volltextversion dieses Beitrags ist über SpringerLink (unter „Supplemental“) verfügbar.

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Clare, M., Sanders, R. Kalkaneusfrakturen . Unfallchirurg 114, 869–876 (2011). https://doi.org/10.1007/s00113-011-2076-9

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  • DOI: https://doi.org/10.1007/s00113-011-2076-9

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