Author/Editor		Andoljšek, Matej
Title		Zlomi petnice: sodobna diagnostika in zdravljenje
Translated title		Fractures of the calcaneus: contemporary diagnostics and treatment
Type		članek
Source		In: Komadina R, Senekovič V, Krajnc A, et al, editors. Zlomi v predelu zgornjega in spodnjega skočnega sklepa. Zbornik 4. Celjski dnevi; 2003 mar; Celje. Celje: Splošna in učna bolnišnica Celje,
Publication year		2003
Volume		str. 117-32
Language		slo
Abstract		Fractures of the calcaneus are rare injuries. If fracture of the calcaneus is untreated or badly treated, the patient will become seriously disabled. On the other hand, treatment is quite difficult, and present a real challenge. Complete diagnostics (plain radiology and computed tomography), knowledge and skills in combination with modern technical possibilities are the basis for successful outcome in the majority of fractures. Nowadays, only fractures without dislocation and fractures with local or general contraindications should be treated conservatively. Dislocated fractures (both intraand extra-articular) should be treated operatively. Complete reconstruction of the joints (80 % of fractures are intraarticular!) and of the shape of calcaneus is prerequisite for successful outcome. Open reduction followed by internal fixation with plate and screws through extensile lateral approach is the method of choice for most of the fractures. So called "minimal osteosynthesis" is rarely used. The paper will give the insight into diagnostics and contemporary treatment modalities for the fractures of the calcaneus.
Descriptors		SUBTALAR JOINT CALCANEUS FRACTURES FRACTURE FIXATION, INTERNAL BONE PLATES BONE SCREWS TREATMENT OUTCOME