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Fractura-luxación del calcáneo: reporte de un caso
Ahmad Almigdad1, Asmaa Hayadreh2, Ehab Altaani1
1Department of Orthopedics, Royal Medical Services, Amman, JOR.
Cureus
|February 4, 2026
Resumen
Las fracturas-luxaciones del calcáneo son lesiones raras. Un abordaje quirúrgico medial puede ofrecer una mejor fijación del fragmento posterolateral, reduciendo potencialmente la irritación tendinosa.
Área de la Ciencia:
- Cirugía Ortopédica
- Atención de Traumatología
- Radiología
Sus antecedentes:
- Las fracturas-luxaciones del calcáneo son lesiones poco comunes de alta energía.
- Estas fracturas a menudo involucran el desplazamiento del fragmento posterolateral y lesiones asociadas.
- El diagnóstico y el manejo quirúrgico presentan desafíos significativos.
Objetivo del estudio:
- Presentar un caso de fractura-luxación del calcáneo.
- Describir un nuevo abordaje quirúrgico para el manejo de esta lesión.
- Evaluar los beneficios potenciales de un abordaje medial para la fijación del fragmento posterolateral.
Principales métodos:
- Reporte de caso de una paciente femenina de 45 años.
- Se utilizó un abordaje quirúrgico medial para la reducción y fijación de la fractura.
- Se centró en la fijación precisa de los fragmentos del sustentáculo y posterolateral.
Principales resultados:
- Se logró una fijación exitosa de la fractura-luxación del calcáneo.
- El abordaje medial facilitó la reducción precisa del fragmento posterolateral.
- Se observó una posible reducción de la irritación tendinosa relacionada con el material de osteosíntesis.
Conclusiones:
- Un abordaje medial puede ser una opción viable para las fracturas-luxaciones del calcáneo.
- Este abordaje puede mejorar la fijación del fragmento posterolateral y reducir las complicaciones.
- Se requieren estudios adicionales para confirmar la eficacia de esta técnica.
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