METHOD OF SURGICAL MANAGEMENT OF HEEL BONE FRACTURE Russian patent published in 2019 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to traumatology, and can be used for treating heel bone fractures with displacement of fragments. Surgical treatment of calcaneal bone fracture is performed by fragment reduction and fixation in external fixation apparatus (EFA). At that, through the soft tissue puncture in the back to the anterior tuberosity, a reducting Schantz screw is introduced in the back, and reposition is performed, simultaneously performing the following procedures: restoration of the calcaneal bone axis by traction of the introduced screw in the sagittal plane, wedging of the fragments by swinging motion of the calcaneal tuberosity and calcaneal bone width recovery by pressure on it from lateral and medial surfaces. It involves inserting three fixing screws of Shantz into the shin bone on the side of its anterior inner surface without going out into the soft tissues on the other side of the shin bone. Screws are placed at the level of the lower and middle one-third of the tibia. EFA is assembled by jointing re-fixing and fixing screws with three bars to form a triangle. Reinforcing screw is fixed to one of triangle tops while remaining screws are secured to triangle opposite to said vertex.

EFFECT: method provides simultaneous reduction of traumatism, prevention of suppurative complications, possibility of early load on postoperative extremity, achieving anatomical reduction with eliminating valgus displacement and calcaneal bone shortening, due to strong fixation in ANF and access to soft tissues in early postoperative period.

4 cl, 11 dwg, 1 ex