Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus
Fractures of the calcaneus are 60% of fractures of the tarsal bones and 2% of all fractures. These fractures generally have a catastrophic outcome if they are not well treated or if they are not poorly reduced. Reviewing the anatomy of the calcaneus, we see that the lateral face lends itself to bein...
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| Autores principales: | , , |
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/38962 |
| Aporte de: |
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I10-R327-article-38962 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
PLACAS OSTEOSINTESIS CALCANEO PLACAS OSTEOSINTESIS CALCANEO . |
| spellingShingle |
PLACAS OSTEOSINTESIS CALCANEO PLACAS OSTEOSINTESIS CALCANEO . Sanchez Carpio , D Palenque, F Simondi , N Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus |
| topic_facet |
PLACAS OSTEOSINTESIS CALCANEO PLACAS OSTEOSINTESIS CALCANEO . |
| author |
Sanchez Carpio , D Palenque, F Simondi , N |
| author_facet |
Sanchez Carpio , D Palenque, F Simondi , N |
| author_sort |
Sanchez Carpio , D |
| title |
Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus |
| title_short |
Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus |
| title_full |
Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus |
| title_fullStr |
Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus |
| title_full_unstemmed |
Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus |
| title_sort |
surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus |
| description |
Fractures of the calcaneus are 60% of fractures of the tarsal bones and 2% of all fractures. These fractures generally have a catastrophic outcome if they are not well treated or if they are not poorly reduced. Reviewing the anatomy of the calcaneus, we see that the lateral face lends itself to being a good surface for the placement of osteosynthesis plates. Over time, various models of low-profile reconstruction plates were developed, the LeTournel Y-plate, the Tampa AO plate and ACE-Depuy perimeter plate for interarticular fractures. Objective: to describe the qualities of calcaneal osteosynthesis plates for better pre-surgical planning.
A total descriptive exploratory anatomical study of 10 cadaveric calcaneal bones from the normal anatomy department with Sanders II, II, IV interarticular fractures with their different varieties was carried out.
The Letournel Y plate had a good reduction with the help of 3.5 mm intrafragmentary screws in 100% of the calcaneus, to improve the reduction and compression of the intra-articular fracture of the posterior facet and anterior apophysis. The Tampa AO plate had a very good reduction and compression using an intrafragmentary 3.5mm screw for the articular reduction of the articular facet. We also saw that this type of plate lends itself to being better molded, becoming more anatomical in its placement. The ACE-Depuy perimeter plate, complete coverage of the lateral wall of the calcaneus is achieved and also the medial support that runs through the center of the plate is designed to provide added strength to the whole and support in case of comminution of the lateral wall .
The perimeter plate is the best option in interarticular calcaneal fractures, providing good coverage of the entire lateral wall while maintaining reduction. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/38962 |
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AT sanchezcarpiod surgicalanatomyincadaverswithosteosynthesisplatesofthecalcaneus AT palenquef surgicalanatomyincadaverswithosteosynthesisplatesofthecalcaneus AT simondin surgicalanatomyincadaverswithosteosynthesisplatesofthecalcaneus AT sanchezcarpiod anatomiaquirurgicaencadaveresconplacasdeosteosintesisdecalcaneo AT palenquef anatomiaquirurgicaencadaveresconplacasdeosteosintesisdecalcaneo AT simondin anatomiaquirurgicaencadaveresconplacasdeosteosintesisdecalcaneo |
| first_indexed |
2024-09-03T21:03:48Z |
| last_indexed |
2024-09-03T21:03:48Z |
| _version_ |
1809210334025613312 |
| spelling |
I10-R327-article-389622024-04-15T16:14:45Z Surgical anatomy in cadavers, with osteosynthesis plates of the calcaneus Anatomía quirúrgica en cadáveres, con placas de osteosíntesis de calcáneo . Sanchez Carpio , D Palenque, F Simondi , N PLACAS OSTEOSINTESIS CALCANEO PLACAS OSTEOSINTESIS CALCANEO . Fractures of the calcaneus are 60% of fractures of the tarsal bones and 2% of all fractures. These fractures generally have a catastrophic outcome if they are not well treated or if they are not poorly reduced. Reviewing the anatomy of the calcaneus, we see that the lateral face lends itself to being a good surface for the placement of osteosynthesis plates. Over time, various models of low-profile reconstruction plates were developed, the LeTournel Y-plate, the Tampa AO plate and ACE-Depuy perimeter plate for interarticular fractures. Objective: to describe the qualities of calcaneal osteosynthesis plates for better pre-surgical planning. A total descriptive exploratory anatomical study of 10 cadaveric calcaneal bones from the normal anatomy department with Sanders II, II, IV interarticular fractures with their different varieties was carried out. The Letournel Y plate had a good reduction with the help of 3.5 mm intrafragmentary screws in 100% of the calcaneus, to improve the reduction and compression of the intra-articular fracture of the posterior facet and anterior apophysis. The Tampa AO plate had a very good reduction and compression using an intrafragmentary 3.5mm screw for the articular reduction of the articular facet. We also saw that this type of plate lends itself to being better molded, becoming more anatomical in its placement. The ACE-Depuy perimeter plate, complete coverage of the lateral wall of the calcaneus is achieved and also the medial support that runs through the center of the plate is designed to provide added strength to the whole and support in case of comminution of the lateral wall . The perimeter plate is the best option in interarticular calcaneal fractures, providing good coverage of the entire lateral wall while maintaining reduction. Las fracturas de calcáneo son el 60 % de las fracturas de los huesos del tarso y el 2 % de todas las fracturas. Estas fracturas generalmente tienen un desenlace catastrófico si no son bien tratadas o si sin mal reducidas. Repasando la anatomía del calcáneo vemos que la cara lateral se presta a ser una buena superficie para la colocación de placas de osteosíntesis, a lo largo del tiempo se fueron desarrollando varios modelos de placas de reconstrucción de bajo perfil, placa en Y de LeTournel, la placa AO de Tampa y la placa perimetral de ACE-Depuy para fracturas interarticulares. Objetivo: describir las cualidades de las placas de osteosíntesis de calcáneo para una mejor planificación pre quirúrgica. Se realizó un estudio anatómico exploratorio descriptivo total de 10 huesos calcaneos cadavéricos de la cátedra de anatomia normal con fracturas realizadas interarticulares Sanders II,II,IV con sus distintas variedades. La placa en Y de Letournel, se tuvo una buena reducción con ayuda de tornillos intrafragmentarios de 3,5 mm en el 100% de los calcaneos, para mejorar la reducción y compresión de la fractura intrarticular de la carilla posterior y apófisis anterior. La placa AO de Tampa, se tuvo una muy buena reducción y compresión usando un tornillo 3.5mm intrafragmentario para la reducción articular de la faceta articular, también vimos que este tipo de placa se presta a ser mejor moldeada llegando a ser más anatómica en su colocación. La placa perimetral de ACE-Depuy, se logra una completa cobertura de la pared lateral del calcáneo y además el soporte medial que discurre por el centro de la placa está diseñado para aportar solidez añadida al conjunto y sostén en caso de conminación de la pared lateral. La placa perimetral es la mejor opción en fracturas interarticulares de calcáneo, brindando una buena cobertura en toda la pared lateral manteniendo la reducción. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto . https://revistas.unc.edu.ar/index.php/med/article/view/38962 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |