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Online ISSN 1827-1707
100° CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPAEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Pavia, June 20-21, 2003
BONE AND JOINT DEFORMITIES - SCIENTIFIC PAPERS
Lanza F. 1, Rosa A. 2, De Luca A. 1, Ameri C. 1
1 Unità Operativa Ortopedia e Traumatologia, Dipartimento di Ortopedia, Azienda Ospedaliera Santa Corona, Pietra Ligure (SV)
2 Unità Operativa Radiologia, Dipartimento di Scienze Diagnostiche ed Alte Tecnologie, Azienda Ospedaliera Santa Corona, Pietra Ligure (SV)
Ten thalamic calcaneus fractures (9 male, 1 female; average age 54) treated in the period 1999/2000 are considered. C.T. study was used to best classify and typify fractures in view of surgery. Surgical reduction was then carried out with percutaneous K. wires, filling of the bone vacuum with carbonate apatite (Norian SRS), immobilisation for 1 month, resumption of loading 45 days after removal of the wires. The patients were monitored clinically and radiographically after not less than 24 months. The results were: excellent 0; good 7; fair 2; poor 1. The results are considered satisfactory even though follow-up is still fairly early. The Norian system was found to be well tolerated biologically and mechanically but only partial reabsorption permitted an early resumption of loading. C.T (axial and 2D) proved to be the most reliable diagnostic investigation for preoperative planning and for assessing postoperative reconstruction.