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Fig. 5 | BMC Surgery

Fig. 5

From: A novel minimally invasive percutaneous treatment for Essex-Lopresti joint depression-type DIACFs by ligamentotaxis

Fig. 5

A 32-year-old male patient suffered left displaced intra-articular calcaneal fracture caused by a fall from a height, Essex-Lopresti classification (joint compression type), Sanders classification (II C). Preoperative lateral (a) and axial (b) X-rays, axial (c), sagittal (d) and coronal (e) CT views showed significantly decreased calcaneal height, Bohler angle and Gissanes angle, significantly increased calcaneal width and significantly collapse of the subtalar articular surface. Intraoperative fluoroscopy (f–j) showed the surgical procedures: (1) restored the morphological of the calcaneus by the TCDR (f, g), (2) temporarily fixed the medial calcaneus column with K-wire (h), (3) reduced the articular surface fracture fragments (i)and (4) percutaneously fixed by cannulated screws (j). Clinical photograph showed the percutaneous prying and jacking reduction technique (k, l) and the surgical incision (m–o). Immediate postoperative lateral (p) and axial (q) X-rays, axial (r), sagittal (s) and coronal (t) CT views showed ideal reduction of the calcaneal height/width, subtalar articular surface, Bohler angle and Gissanes angle. 14 months postoperative lateral (u) and axial (v) X-rays, axial (w), sagittal (x) and coronal (y) CT views showed fracture has healed without reduction lose

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