Calcaneal Locking Plate

Plate features

• Available in small, large and extra-large in left and right versions

• 11 locking holes available

• Bendable tabs

• Locking holes throughout the plate for the screws buttressing the articular surface

• Lateral application

• Locking scr

Threaded locking holes

• Provides a fixed-angle construct to buttress surfaces

• Permits multiple points of fixation

• Are compatible with standard 2.7 mm and 3.5 mm cortex screws as alternatives to, or in conjunction with, 3.5 mm locking screws

specifications

Calcaneal Locking Plate: A Comprehensive Guide

Calcaneal fractures are a common occurrence in both young and old populations. Calcaneal locking plates are often used in surgical management for treating these fractures. The calcaneal locking plate is a specialized implant designed for fixing displaced fractures of the calcaneus bone. This article provides a comprehensive guide on calcaneal locking plates, including its definition, anatomy, indications, techniques, and complications.

I. Definition

A calcaneal locking plate is a specialized surgical implant designed for internal fixation of displaced calcaneal fractures. It is composed of a metal plate with several holes, which are designed to accommodate screws. The screws are placed through the plate into the bone to stabilize the fracture.

II. Anatomy

The calcaneus bone is located in the hindfoot and forms the heel bone. The calcaneus has a unique shape with several bony prominences that articulate with other bones in the foot. The calcaneal locking plate is designed to contour to the unique anatomy of the calcaneus. It has several different shapes and sizes to fit different fracture patterns.

III. Indications

The primary indication for using a calcaneal locking plate is for the treatment of displaced intra-articular calcaneal fractures. These fractures are often caused by high-energy trauma, such as falls from a height or motor vehicle accidents. They are characterized by a significant amount of displacement and articular involvement. Other indications for using a calcaneal locking plate include:

• Fractures with significant comminution

• Fractures with soft tissue compromise

• Fractures in patients with poor bone quality

IV. Techniques

There are several techniques for using a calcaneal locking plate to fix a calcaneal fracture. The technique used depends on the fracture pattern and the surgeon's preference. The two most common techniques include:

• Extensile lateral approach: This technique involves making a large incision on the lateral aspect of the foot and reflecting the soft tissues to gain access to the fracture site. This approach allows for direct visualization of the fracture and accurate reduction. The calcaneal locking plate is then placed on the lateral aspect of the calcaneus.

• Percutaneous technique: This technique involves making small incisions and inserting screws through the skin to reduce and stabilize the fracture. This technique is less invasive but requires advanced imaging and fluoroscopy to ensure accurate screw placement.

V. Complications

As with any surgical procedure, there are potential complications associated with using a calcaneal locking plate. Some of the most common complications include:

• Infection

• Wound healing problems

• Nerve injury

• Hardware failure

• Post-traumatic arthritis

VI. Conclusion

Calcaneal locking plates are a valuable tool in the surgical management of displaced calcaneal fractures. They offer several advantages over traditional methods of fixation, including increased stability and early weight-bearing. However, their use requires a thorough understanding of the anatomy, indications, techniques, and potential complications.

VII. FAQs

1. How long does it take to recover from a calcaneal fracture?

• Recovery time varies depending on the severity of the fracture and the patient's overall health. It can take several months to a year to fully recover.

1. How long will I have to stay in the hospital after surgery?

• The length of hospital stay varies depending on the surgical technique used and the patient's overall health. It can range from a few days to several weeks.

1. Will I be able to walk after surgery?

• Most patients are able to begin weight-bearing shortly after surgery. However, this depends on the severity of the fracture and the surgical technique used.

1. How long will I need to wear a cast or brace after surgery?

• The length of time a cast or brace is needed varies depending on the severity of the fracture and the surgical technique used. It can range from a few weeks to several months.

1. Can calcaneal fractures be treated without surgery?

• Non-surgical management, such as immobilization and rest, may be an option for some calcaneal fractures. However, displaced intra-articular fractures often require surgical intervention for optimal outcomes. It is best to consult with a healthcare professional to determine the best treatment plan for your specific situation.