The Locking Calcaneal Plate. Part of the Synthes small fragment ...

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Indications Indications The locking calcaneal plates address complex fractures of the calcaneus. The locking calcaneal plate is indicated for fractures and osteotomies of the calcaneus including, but not limited to, extra-articular, intra-articular, joint depression, tongue type, and severely comminuted fractures. 4 Synthes The Locking Calcaneal Plate Technique Guide
Surgical Approach Place the patient in lateral decubitus position. Make an extensile, right-angled lateral incision. The vertical portion of the incision should be just anterior to the heel cord and extend down to the plantar and lateral skin junction. Continue the incision forward, horizontally, exposing the calcaneocuboid joint. The incision is carried straight down to bone at its angle and then developed to allow a single, thick flap to be lifted from the periosteal surface. This approach allows raising a single flap consisting of skin and soft tissue which includes the peroneal tendons, sural nerve and the detached calcaneofibular ligament. A “no-touch” technique may be employed by retracting the flap with Kischner wires in the talus and in the cuboid, or with an oral surgery tongue retractor. Note: Care must be taken to avoid prolonged traction of the flap, especially if Kischner wires are used. Synthes 5
Page 1: Technique Guide The Locking Calcane
Page 4 and 5: Features and Benefits Plate feature
Page 8 and 9: Reduction 1 Reduce the fracture Red
Page 10 and 11: Cut / Contour Plate Using the appro
Page 12 and 13: Secure Plate to Bone B. To secure t
Page 14 and 15: Closure 5 Closure Close the wound i
Page 16 and 17: Instruments 323.027 LCP Drill Sleev
Page 18: Bibliography Sanders, Roy (2002) Di

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