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Fig. 2 | BMC Musculoskeletal Disorders

Fig. 2

From: Modified Essex-Lopresti procedure with percutaneous calcaneoplasty for comminuted intra-articular calcaneal fractures: a retrospective case analysis

Fig. 2

Intraoperative images from an iso-centric image intensifier demonstrating reduction techniques and calcaneoplasty procedures. a A dull elevator was inserted through a small incision to elevate the articular surface; b a Kelly clamp was used to spread the fracture site; c MIIG was directly injected through a trocar to the fracture site; d a 3.2-mm Steinmann was applied as a joystick to perform the Essex-Lopresti manoeuvre; e Harris axial view demonstrating manipulation with a hammer and correction of the calcaneal axis using the distraction technique with Steinmann pins; and f fixation with Steinmann pins across joints to maintain the reduction

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