Calcaneal fracture with some difficulties in treatment Report of three cases.

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Three cases of calcaneal fracture in which some difficulties in treatment were experienced are reported in this paper. We are concerned with the reasons for difficulties and give a reconsideration of the method of treatment.Case 1: a 16-year-old male. The poor skin condition caused by the bilateral open fractures delayed the treatment of the fractures themselves, and flat foot, hammer toe and corn formation developed consequently.Case 2: a 31-year-old female. This patient had a long part history of heavy prednisolon medication for SLE, and the soft tissues at the calcaneal lesion repeatedly became infected after operation.Case 3: a 36-year-old male. Pinning was the primary treatment in this case, and an infection developed at the site of the pinning, resulting in osteomyelitis.Because of this, healing of the calcaneal fracture took a long time and when the infection subsided a serious deformity remained.Reflecting on the above causes, we must be very careful about infections in calcaneal fractures which may become very serious because of the anatomical and functional characteristics of the calcaneal area.
西日本整形・災害外科学会の論文