Orthosis with calcaneus fracture

Orthosis 28F10 with fractures and injuries of the calcaneus

Fracture of the calcaneus is a fairly rare type of injury. The heel bone can break under the most unexpected corners and into a different number of fragments. The fracture can be either simple (without bias) or complex, with a displacement of the fragments.

Causes

Various factors and accidents can lead to such trauma. Here are the most frequent of them:

1. falling from a height to straight legs;
2. violation of safety techniques by athletes and conscript soldiers;
3. road accidents;
4. pathological conditions of bones (osteomyelitis).

Trauma most often has a one-sided nature. After the impact, the victim feels a strong pain in the area of ​​the heel. To suspect a fracture it is possible already after the victim has described the mechanism of reception of a trauma (falling, blow). The diagnosis is confirmed by X-ray images or CT.

Treatment

Basically, for the treatment of this injury, a plaster cast of the "sapozhok" type is used without repositioning (insertion into place) of bone fragments. This type of treatment is often characterized by poor results - muscle atrophy, flatfoot formation, development of stiffness in the ankle joint.

In the case of punctured fractures (arising when falling on straight legs), skeletal traction is often used. It is carried out in a hospital with the use of special cargo.

There is also a method of open treatment of such types of trauma. For this purpose, an operation is performed, during which bone fragments are fixed with special devices.

Orthosis of the heel-and-discharge 28f10 is recommended for use in the following cases:

1. Preparation for operations on the talus-calcaneus joint;
2. Fractures of the calcaneus of any kind, no matter what type of fracture treatment was used before.

How does the orthosis 28f10 work?

The load on the heel is reduced due to the distribution of the load between the arch of the foot and the lower part of the shin.

Being in gypsum, the foot does not take a physiological position, which can provoke the formation of longitudinal flat feet.

In orthosis, due to the corresponding bends, the foot has almost completely physiological position, which is the prevention of flatfoot.

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The earlier the patient begins to perform active actions with the foot, the less will be the manifestation of contractures and other stagnant phenomena in the tissues.

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Due to more active work of the muscles, there will be no signs of stagnation (in particular, venous thromboses) in the vessels.

As a result of activation of blood circulation in the limb, the risk of post-traumatic deforming arthrosis, osteoporosis, osteomyelitis and some other diseases that in the future can lead to disability.

The unconditional advantage of a rigid retainer is the ability to remove it yourself, for example, if necessary, wash your foot.

Also, when wearing the latch on the leg, ointments are permitted, and physiotherapy procedures are performed.

Unlike gypsum, with an orthosis on the leg, you can walk without crutches.

Application features

In the orthosis, you can walk not only indoors, but also on the street, since you do not need to compensate for shoes on the height from the opposite side. You can even ride a bicycle.

In order to use this product as efficiently as possible, it is necessary to fulfill a number of conditions:

1. Orthotomy is possible only by written appointment of a doctor. The oral direction in such cases is absolutely not acceptable.
2. The orthosis is sold in disassembled form. It is unacceptable to collect it yourself, as assembly and fitting of the product must be carried out only by a specialist in the conditions of an orthopedic workshop. The personal presence of the patient is required.
3. At the time of application of the orthosis, the patient should not have plaster, foot swelling or open wounds.
4. During the wearing of the orthosis, it is possible and even necessary to give a load to the damaged leg. An important condition in this case is the absence of pain during walking.
5. Thanks to a variety of inserts, you can gradually increase the load on the heel bone.

Dimensions

Orthosis for men and women has the same shape. Its dimensional mesh provides three sizes and shapes for the right and left legs. The size of the latch is adjustable according to the size of the foot.

A source: http://MedOtvet.com/vosstanovlenie-sustavov/ortez-28f10-pri-perelomah-i-travmah-pyatochnoi-kosti.html

Fracture of calcaneus - how many heals, how long

Fracture of the calcaneus is a very serious and painful injury, which is rare in the modern world.
Most often, the cause of this fracture is the fall on straight legs from a great height, as well as a strong heel to the ground.

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How many heals the fracture? The period of intergrowth of the fracture depends not only on the severity of the injury, but also on its treatment (it will take a long time to walk in a plaster, on average 3-4 weeks).

Thus, with improper treatment, in addition to slowing the adhesion and healing of the fracture, deterioration of the fracture state is possible. And if this is not prevented, then there will be a big complication and more serious treatment.

For complete and painless healing of fractures, you need time, patience and proper care for the damaged limb. If you are assigned to wear gypsum, then it is not recommended to carry out any rehabilitation measures.

When the training of the limb is delayed or if the exercises are not properly performed, flat feet appear, deforming arthrosis, and after a while a person can not use this limb for movement.

Below are some important exercises for training a damaged foot:

• flexion and extension of the leg in the knee will cause weakened muscles to tone;
• flexion and extension of the toes also helps to tone the muscles;
• Rolling a bottle on the floor with a damaged limb;
• massage improves blood flow and lymph flow in the heel, relieves stress in the muscles of the foot, increases stamina and strength of muscles (massage should be performed by a specialist, and the duration of massage should increase with each at once).

When performing all of the above, the damaged limb can be developed to the state in which it was before the fracture. Do not be afraid of pain, you just need to reduce the load a little.

In conclusion, I want to note that, despite the seemingly insignificant size of the injury, the consequences from it can be very severe, up to the loss of the damaged limb and getting disability.

↑ http://gidpain.ru/perelom/pjatochnoj-kosti-reabilitacija.html

Effective treatment of trauma

Depending on how the limb was damaged, the methods of its treatment are also determined.

In the event that it is not possible to get to the trauma center on the day of the fracture, several instructions should be followed so as not to aggravate the situation:

1. First, you need to limit the food: food and water are only allowed if the next day the injured item can not be visited.
2. Secondly, the application of elastic bandages is strictly prohibited. An exception can be only abundant bleeding, in which the tourniquet is recommended to hold no more than two hours.
3. In case of fracture, it is also necessary to slip a small cushion under the damaged leg. Necessarily the foot should be slightly higher than the body of the victim.
4. The injured foot itself needs to be wrapped around with a soft cloth, while not strongly pulling it together.
5. Of course, the ice attached to the injured foot will help to remove the swelling and not aggravate the situation of the victim.
6. With treatment in a medical institution should not be delayed. It is recommended that the patient be taken to the trauma clinic not later than 3 weeks after receiving the fracture.

Further treatment will have two options, depending on the type of fracture.

So,with a fracture with a shift, the doctor must make local anesthesia and manually correct the broken bone fragments.

Next, you just need to put a gypsum on the foot and limit the load.

But if there is no bias in the fracture, the doctor must fix the limb with a plaster that reaches the knee joint. To prevent the displacement of the joints of the bone will again help fixing the foot in the position of a small inflexion.

If the fracture is unstable, in the absence of bias, it is recommended to perform internal splinting of the bone. In this fracture, on the entire foot, including the heel, special fixators are attached, interconnected by hinged systems with a support attached to the bones of the shin.

Multiple fractures are considered to be the most dangerous fractures of the calcaneus. In case their alignment is not possible, osteosynthesis is required. After this, such fractures are treated with the help of Ilizarov's apparatus.

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Rehabilitation and special gymnastics on video

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Watch the video on this topic

Fracture and its main causes

The heel bone is one of the strongest bones of a man. Therefore, it is worth a lot of effort to break it. This injury is not as common as, for example, a fracture of the hand, but it is very serious.

This damage takes a long time to heal. And also a special approach in the treatment and rehabilitation for the restoration of a damaged limb.

Often, modern people who are professionally engaged in any kind of sport, neglect protection measures and undergo a fracture of the calcaneus.

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Common symptoms of calcaneus fracture

The main signs of heel fracture are:

• pain near the heel;
• impossibility of movement;
• Edema, beginning with the heel and widening to the entire foot;
• severe hemorrhage on the injured limb.

All these symptoms may not be noticed in the largest fractures, which often accompanied by a fracture of the calcaneus.

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What else do you need to read:

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Orthosis in infirmity

Orthosis with a heel fracture is recommended to use only in cases where the bone has already grown together.

The orthosis is used to fix the ankle joint and accelerate the absolute cure of the fracture.

Also, the heel orthosis is used in preparation for operations on the talus-calcaneus joint.

The orthosis evenly distributes the load between the arch of the foot and the lower part of the shin, so that the load on the heel decreases.

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Also, the orthosis prevents the appearance of flat feet, thanks to the bends, in which the foot assumes a completely physiological position.

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To maximize the use of orthosis, you need:

• written appointment of a doctor for orthotics;
• the assembly of orthosis by a specialist in the presence of a patient;
• Absence of plaster casts, foot swelling, open wounds during the application of orthosis;
• moderate loading on the damaged leg is recommended during the period of wearing orthosis (in the absence of pain).

A source: http://GidPain.ru/perelom/pjatochnoj-kosti-reabilitacija.html

Rehabilitation after a heel fracture, how many the fifth metatarsal bone heals?

Heel is a very important part of the human body.

From its integrity and normal functioning, the ability to move and work largely depends.

Despite the fact that heel fractures are much less common in comparison with fractures of metatarsal bones, this is a fairly common phenomenon.

From the correct rehabilitation after a heel fracture, in fact, the complete return of a person to normal life depends fundamentally

Rehabilitation after fracture

Its goal is to fully heal the calcaneus, restore the ability to evenly distribute the load on both legs and complete movement.

How much time is required for this period depends on many factors:

• a method of treatment of a fracture (it is possible to treat fracture with or without surgical intervention);
• complexity of the fracture (with or without bias);
• success of treatment;
• duration of treatment;
• individual characteristics of the organism;
• intensity and duration of pain in the limbs during; rehabilitation process.

In general, the lines of the period can vary from five weeks to six months.

However, it can last for several years, until you can fully distribute the load on both feet.

Very important is also the desire and diligence of the patient himself, as this process is laborious enough, requires diligence and patience.

All the complexity and seriousness lies in the fact that during the treatment of the fracture the diseased limb did not succumb to the load.

Therefore, first of all, it is necessary to increase the tone and renew muscle elasticity, not to damage the metatarsal bones.

After removal of gypsum

Usually, rehabilitation methods are used after removal of gypsum. In the first week after you stopped treating the fracture, you took off the cast, do not immediately begin to heavily load the damaged leg, often it still hurts.

Loads must be gradual. And most importantly, remember that it is important not only the quantity, but also the quality of the procedures performed by you!

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It is also recommended to purchase a shoe supporter, which will help reduce the burden on the sore foot.

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However, it should be noted that in cases of complex fractures and a long period of treatment, physiotherapy methods can also be prescribed in the process of wearing gypsum. This is done in order to prevent complete muscle atrophy and maintain the circulation in the foot at the required level.

Rehabilitation methods

The main key recovery after heel fracture are:

• physiotherapeutic procedures;
• replacement of gypsum with orthosis;
• massage;
• application of foot baths;
• exercises for the feet and feet;
• healthy diet.

It should be noted that at the initial stages of the rehabilitation process you will be concerned about pain in the injured limb.

Physiotherapeutic procedures

It is with them that the process of revival to active life of your damaged feet begins.

There are several types of such procedures:

• electrophoresis;
• phonophoresis;
• laser therapy;
• magnetotherapy;
• warming up.

The essence of these methods is based on the impact on the damaged site by pulses from various sources for improving blood circulation, which contributes to the acceleration of the process of bone fusion, muscle stimulation and stricken nerves. Also with their help the inflammation is removed, salt deposits are eliminated, painful sensations are eliminated.

Orthosis with calcaneus fracture

It should be noted that the use of orthosis in fracture is much better than gypsum, because when using it, the foot almost completely takes its natural position. This is very important to prevent the development of flat feet during treatment and the resumption of leg functions.

When it becomes possible to change the gypsum to an orthosis, it is necessary to do this as soon as possible

The orthosis is a fixative. It can be used strictly according to the doctor's prescription.

Since it is sold in disassembled form, it is necessary to contact a specialist for proper assembly and obtaining advice on the rules of its use.

In the future, you will be able to remove and wear the orthosis yourself. How much it is necessary to carry a fixator is determined only by a doctor.

Also, the patient will not need to wear crutches.

In the process of using the fixator on the damaged limbs, it is possible to give a load (even to attack the damaged part), however, only in the absence of pain in this case.

If you need a fracture without a bias, you can already use orthosis instead of gypsum at this stage.

Massage

It can be used also when the treatment is only carried out and when the rehabilitation period has already come. In the first case, massage of gypsum-free parts, especially the location of metatarsal bones, is performed to improve blood flow and involve muscles.

Massage helps prevent stagnant processes and eliminate fluid in the damaged foot

Massage is more useful with cedar oil. A very good result will be the use of kneading, groping, stroking and rubbing movements. They stimulate the flow of blood to the injured limbs, promote the activation of the muscles.

Application of trays

Baths with the use of sea salt (100 g. salt per liter of water) and decoctions of chamomile, dog rose, thyme, sage will make the rehabilitation process much more pleasant and effective. They can be taken only after removing the gypsum.

Exercises

To treat fractures of the heel, metatarsal bones is necessary with the use of gypsum or orthosis. The mobility of the damaged part of the body is blocked.

To resume muscle work after a long period of relaxation, their elasticity, to prevent formation of stagnant processes, it is necessary to begin physical exercises, when only it becomes possible.

Exercise should be applied strictly according to the instructions provided by the doctor, or even better - in a special rehabilitation center under the supervision of a specialist.

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Exercises will necessarily accompany pain in the damaged area. We must do everything very carefully and responsibly.

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Gymnastics is a very important element of rehabilitation

Here are some types of exercises:

• it is necessary to take up the back of the chair. Lift the slowly injured limb forward or sideways and hold it for a few seconds. Slowly lower. Exercise should be repeated ten times with a damaged and healthy limb;
• Lie down on the floor and cross legged (mahi);
• do rotational movements with a damaged limb.

For a better effect, you can also use an exercise bike or other special apparatus.

Over time, the pain must go away. If, however, after a long time of training the limb hurts, it is necessary to stop the procedures and undergo a survey.

How much exercise is needed and their duration is determined solely by the doctor.

Food

For a speedy recovery, you must pay attention to your diet.

In food you need to take as much as possible products containing silicon and calcium: fish, milk, nuts, sesame, cottage cheese, kefir, pears, radish, currants, raspberries, cauliflower. It will also be useful to take calcium-containing vitamins.

With a responsible and integrated approach to the rehabilitation process, your wound heals quickly.

Possible complications

With insufficient attention to the rehabilitation process after a heel fracture, complications are possible:

• chronic limb pain;
• flat feet;
• arthrosis;
• damage to the metatarsal bone;
• deformity of the limb;
• appearance of bony projections;

Damage to metatarsal bones is very dangerous, since they are responsible for the normal finger robot. In case of a heel injury, a large load must be attributed to the metatarsal bone (when the injured limb hurts the patient tries to step on the metatarsal bones of the fingers).

One of the most common complications of heel fracture is flatfoot

A source: http://HodiZdorov.ru/pjatki/reabilitaciya-posle-pereloma-pyatki.html

If the heel fracture after what time it is possible to attack

Fracture of the calcaneus, not frequent damage, because this bone is very strong and it will require a large impact to damage it.

According to statistics, only 4% of all fractures occur in the heel fracture.

This brings a lot of inconvenience, so this fracture refers to a number of long healing and complex disorders.

For what reasons is a fracture possible

Heel fabric has a complex structure, it consists of spongy tissue, a feature of which is severe bleeding from the intraosteal veins, with a fracture.

Most changes in the integrity of the foot occur due to a fall from a large height, the heel gets hit and a strong collision with a hard surface. The same cause of injury can be a direct hit of any object in the heel area or strong squeezing of the foot.

Concomitant damage in the fracture is damage to the metatarsal and bone tissues of the ankle, less often the spine.

When exhausting training and failure to take precautionary measures become a consequence of receiving this damage.

The main signs of obtaining violations of the integrity of the limb

This disorder is accompanied by the following symptoms:

• Heel strongly swollen and swollen
• Unpleasant, painful sensations during movement and easy pressure on the damaged place
• The appearance of a hematoma
• Deformation and visual enlargement of foot
• Hemorrhage
• Inability to step on a limb

Types of disorders of the calcaneus

There are several types of violations of the calcaneus, they are classified according to the severity of the damage. The main types of bone disorders are fracture fragmentation, with displacement and without displacement, with a fracture of the middle or lateral process.

Based on the classification, these injuries have a different degree, as well as a different intensity of manifestation. When a closed fracture is obtained, the pain is more severe and it is impossible to rely on the injured limb.

When open, a characteristic sign is bleeding, rupture of soft tissues, dizziness and severe pain, right up to loss of consciousness. This symptomatology makes it possible to establish the type of violation during the examination is not the place.

According to experts, a closed type of damage carries more danger than an open one.

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Specificity of closed fracture in not too severe symptoms, most often the affected person can To confuse this trauma with a bruise and not take appropriate measures, do not seek professional advice. help.

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The consequences of such an attitude can become irretrievable - the foot may remain deformed, flat feet, osteoporosis, arthrosis appear.

Therefore, when getting injured, medical advice and examination is recommended. Medical diagnostics includes - examination of the feet and fluoroscopic examination.

X-ray is carried out in two images - axial and lateral. Radiography is the most reliable and proven method of diagnosis when heeling the heel.

X-ray is needed to recognize the type of injury and determine the height, length and angle of inclination of the calcaneal limb.

The first thing that attention is paid to during the examination of the picture by a specialist is the articular-lumpy angle.

In a healthy person, the unbroken bone in the image is 30-40 degrees. Injured heel leads to a change in this angle - it goes into negative.

Further treatment will depend on this criterion.

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After diagnosis, appropriate therapy is prescribed, depending on the type of injury received. Most patients are worried about the issue of heel fracture, when to step on foot and when the leg can fully function.

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The duration of recovery depends on the complexity of the injury, depending on the type of disorder obtained, treatment is prescribed, the duration of which depends on many factors.

With a fracture with displacement, the bone is needed. For this, under local anesthesia with the help of a wooden wedge, the doctor restores the bone to its former state. Then a plaster is applied to the leg for at least 3 months.

In the case of a multi-lobed displacement of the foot bone, a specialist performs an operative intervention using the bone and intraosseous metal structures.

Full recovery and the ability to step on foot comes about in about half a year.

If a bone fracture without bias is impregnated with gypsum, this trauma can lead to complications in the form of rupture of the calf muscles atrophy, which can lead to restriction of leg movement.

The application of gypsum to the knee joint is performed, if there are no displaced fragments. Moving in this case is possible only with the help of crutches. Gypsum is applied for two months and only after one you can try to step on the foot.

Complex damage and fragmentation of the bone with prolonged recovery require the use of orthosis. Orthosis is a special device, a lighter version of gypsum.

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It is used between the stages of recovery - after intensive therapy and before rehabilitation.

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Using orthosis, you can prevent the development of muscle atrophy, reduce rehabilitation time and reduce the burden on the injury site.

Rehabilitation after a heel fracture

The absence of complications during the treatment of breaches of the integrity of the calcaneus leads to the fact that the plaster is removed after 6-7 weeks. But, the treatment does not end there.

Appointed rehabilitation procedures, in the form of massage, physiotherapy, as well as therapeutic exercise.

They will help bring the limbs to a healthy state, thereby significantly increasing the chances of a complete restoration of the limb.

The effectiveness of therapeutic physical training is proved when a fracture with displacement. Begin to perform exercises after the removal of the plaster bandage.

As a rule, these are circular movements of the heel, extension and flexion, not heavy loads on the diseased leg, walking.

Massage can be performed during the gypsum applied to the limb. Begin with the development of the muscles of the hips, this creates a suction effect and relieves swelling in the heel.

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Massage is performed with warming oils and ointments daily, for 3 weeks, after a break for several weeks and the massage procedure is resumed.

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Physiotherapy is prescribed after the removal of gypsum, since during this period it is necessary to return the main functions to the feet. Physiotherapeutic procedures are conducted under the supervision of a doctor within the walls of the clinic.

Specialist can be appointed - warming up, electrophoresis, laser, phonophoresis. The goal of physiotherapy is to increase the flow of blood into the injured area, this allows to accelerate the restoration of all tissues of the body.

As a rule, physiotherapy is prescribed for patients with a long period of limb immobility due to a heel fracture with displacement.

For the final return to the normal functioning of the limb, special footwear must be worn. This is a mandatory recommendation of specialists, contributing to avoiding undesirable consequences.

Supinators and orthopedic insoles correctly distribute the load along the foot, do not squeeze or stitch the movements. In specially selected shoes, the legs develop correctly and do not get tired. It is necessary to wear such shoes for at least half a year.

Observance of all the recommendations of a specialist and proper treatment contribute to the onset of recovery in 3-4 months. During this time, the limb will recover, and the patient can return to the habitual way of life.

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A source: http://KrasivieNozhki.ru/terapiya/pri-perelome-pyatki-cherez-kakoe-vremya-mozhno-nastupat.html

Unloading orthosis with fracture of calcaneus: types, features, indications and instructions for use

Orthosis 28F10: description

Fracture of the calcaneus is a very unpleasant and, moreover, quite frequent injury, which can be the result of a fall, a blow or an unsuccessful jump.

Frozen fractures occur within 3-4 months.

This is a fairly long period, during which not everyone can afford to lie without getting up, or move only on crutches.

Unloading orthosis with fracture of calcaneus bone 28F10 (OTTO BOCK) can be used from the first days of rehabilitation.

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It allows you to shorten the duration of the recovery period, improve the well-being of patients, allows you to walk with the greatest comfort and can be worn instead of shoes.

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The structure of the orthosis consists of a hard back part, a soft toe piece and belts. Behind, in the area of ​​the heel, half of the sole and half of the shin, there is a dense plastic part of white color.

It provides sufficient fixation and unloading of the heel area. Closed toe is made of dense skin. On the lower leg are two belts, on the foot orthosis is fixed by one more strap.

Adjustable fasteners allow you to quickly and easily remove and put on the product and choose its parameters for the width and size of the foot of a particular person.

High-quality materials and strong connection of parts ensure durability, wear resistance of the product.

The cushion inserts make it possible to wear the orthosis more comfortably and gradually increase the stiffness of the inner part of the product.

The size of the orthosis is selected based on the size of the shoe, rather than some other difficultly defined parameters of the foot. This greatly simplifies the procedure for selecting and purchasing the product.

Orthosis 28F10: Functions

Orthosis with calcaneal bone fracture 28F10:

- Redistributes the load on the foot, removing it from the heel and transferring to the gastrocnemius muscle.

- Eliminates pressure on the heel, which creates favorable conditions for proper bone growth.

- Shortens the recovery period after fractures up to 3 months.

- Reduces tenderness when walking.

Orthosis 28F10: indications

The orthosis 28F10 can be applied in the following cases:

- Fracture of calcaneus.

- Preparation for operation of arthrodesis of calcaneus-talant joint.

Orthase 28F10: price and sale

The acquisition of this orthosis is a pledge of a comfortable and quick recovery, as well as an early return to normal life after a fracture of the calcaneus.

Buy orthosis 28F10 can be in our online store of orthopedic products. The order is made through the shopping cart site or by phone. There is a free number for the regions8 800 550-52-96.

Orthosis 28F10: Determination of the size

Side	Shoe size
Left / Right	37-40
Left / Right	40-43
Left / Right	43-46

When orderingfrom 9500 rub.Delivery in Moscow and the Moscow Ring Road (up to 10 km) -IS FREE!

When orderingfrom 6500 rubles.Delivery in Moscow and the Moscow Ring Road (up to 10 km) -150 rubles.

When ordering for less than6500 rub.delivery in Moscow -250 rubles.

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When ordering for MKAD for the amount ofless than 6500 rub- 450 rubles + transportation costs.

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Courier in the Moscow region - the price is negotiable.

Delivery in Moscow is carried out on the day of order.

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Fracture of calcaneus how many heals and how they are treated

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• Classification
• Causes and Symptoms
• Diagnosis and treatment
• Rehabilitation

Such an injury as the fracture of the calcaneus occurs rarely in young people, athletes and people with joint diseases such as osteoporosis or arthrosis.

Because of the impossibility of stepping on the entire foot, mobility is impaired, therefore, for a certain period of time, it loses its efficiency. There are several types of injuries, which include a fracture of the calcaneus with a bias, no bias, an open or closed injury.

Also, the patient always cares about the question of when a calcaneus fracture occurred, how many heals and how he is treated.

The heel bone is considered to be a strong structural element, as it has a heavy load on life, so it will not be easy to break it. As already mentioned, young people are more affected and this is due to their activity.

To get fractures of the heel bones, you need to fall from a height to your feet, and this is the most common cause of injury.

As is known, the elderly are less mobile and rarely suffer such traumas, they may have a fracture with concomitant pathologies of the musculoskeletal system.

Treating the fracture of the calcaneus is always a long one, an important role is played by rehabilitation after a fracture of the calcaneus, because during the time of immobilization there is muscle atrophy and the person literally has to re-learn to step on foot.

Classification

Classification of heel bone fractures depends on the cause of its cause, the extent of lesions and is divided into several species.

First of all, there is a fracture of the calcaneus bone without bias and with displacement, on this depends the treatment option and the clinical picture of the disease.

When displacement occurs, a fragment of bone can damage blood vessels, nerves, soft tissues, causing the patient to be threatened by complications such as bleeding, neuralgia.

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Depending on the anatomical lesions, trauma is divided in the lateral process, the medial process, damage to the body and hillock.

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In the pathological process, ligaments, muscles, tendons may be involved - strains and tears may appear, which also affects the manifestation of the soreness syndrome.

Often, when falling from a height, a multi-lobed fracture is recorded, when an open reposition is used to treat the patient to return the leg's mobility.

Dangerous is the compression fracture of the calcaneus, which occurs when falling from a height to the feet, When the heel is squeezed, the talus bone is injured, the ankle can be injured joint.

You can break both the heel of one leg, and both, which also affects the treatment option and the future rehabilitation period.

Causes and Symptoms

Like many other fractures, trauma to the calcaneus is associated with three main causes:

• falling from height to foot is a common cause;
• crushing of the foot in the event of an accident, jamming with a heavy object or dropping it onto the heel area;
• age-related trauma due to osteoporosis and due to hereditary diseases of the osteoarticular apparatus.

Most often, the damage to the heel is due to a jump from height, and the higher the altitude, the more dangerous the consequences.

It is the fracture of both heel bones with displacement that occurs when falling from height and is considered a dangerous condition, the treatment of which takes more than one month.

Such injuries are often affected by athletes, recruits in the army.

On the second place according to statistics are traffic accidents, as in a frontal collision the car deforms the body and exerts excessive pressure on the legs. Often, damage to the heel happens in the workplace, when a heavy object falls on its feet, the foot is squeezed and squeezed.

Symptoms of fracture of the calcaneus bone depend on the strength of the impact of the traumatic factor, the presence of displacement, fragments and the presence of damage to the human skin.

So, with an open fracture, a wound is formed that bleeds and if you do not help in time, the person can be threatened with infection.

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If a fragmentation fracture is recorded, severe pain arises from damage to the nerve endings.

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The main sign of trauma is pain, its nature depends on the degree of damage. In addition to pain, the patient has swelling of soft tissues, which gradually builds up. With closed fracture, hematoma may develop.

Foot movements are limited due to severe pain. If the patient is injured without a bone dislocation or an edge fracture, there may be no swelling or bruising, the symptoms of pain will not manifest so much.

In any case, the patient will not be able to tread on the heel because of the increased pain.

Diagnosis and treatment

To treat a fracture it is necessary after carrying out of diagnostics to establish or determine volume of damages. For this, the doctor conducts an examination and prescribes an X-ray diagnosis.

If there is an opportunity, then for accurate diagnosis, you can conduct a computer tomography, because of the diagnosis and treatment depends on the future performance of a person.

For the treatment of fractures, the method of immobilization, that is, the immobilization of the foot and ankle, is always used, for the possibility of bone consolidation.

For the purpose of immobilization in the conservative treatment, gypsum is used.

With a simple fracture, without the presence of displacement, fragments are carried out by plastering from the fingers to the knee joint or part of the ankle.

Before applying gypsum, the doctor models the arch of the foot to avoid complications after the removal of gypsum.

By the way, the main complications after heel fractures are such pathologies as valgus deformity, flatfoot development.

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With fractures of the calcaneus, the first few days are assigned to bed rest and only after their expiration the patient can move, leaning on a crutch. Attack on the injured leg can not.

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The term of immobilization directly depends on the amount of injury, but rarely the plaster is removed before, months, the average period of immobilization is two, two and a half months.

Some medical centers instead of gypsum bandages use polymeric material to immobilize the foot.

Complicated fractures with displacement, the presence of fragments are treated operatively. An osteosynthesis procedure is prescribed in which the bone fragments are fixed, for which a plate is inserted. The bone reposition of the fragments can also be used.

Rehabilitation

After the removal of the plaster bandage, the rehabilitation stage begins after the fracture. The patient needs to learn to step on the injured heel, while he can feel discomfort and feelings of pain.

A popular method of rehabilitation is the use of orthoses. Unloading orthosis with a fracture of the calcaneus allows you to reduce the load, swelling in the leg.

Orthosis is considered a preventive method against the development of muscular atrophy and it becomes easier to step on the damaged leg.

A positive effect is provided by a therapeutic massage, which can be started during immobilization, massaging the upper part of the foot, fingers, this technique prevents muscle atrophy.

For the rehabilitation of leeches, physiotherapy procedures are often used.

Gymnastics should be held for at least 2-3 months to avoid the formation of flat feet, arthrosis, deformation of the fingers.

The main techniques of exercise therapy are flexion and extension of the leg in the knees, stimulation with the same movements of the toes. It is possible to begin these receptions even at a time when the leg is plastered.

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When the gypsum is removed, exercises on the massage mat, using massage balls, which need to be rolled on a hard surface, are helpful.

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It is worth remembering that the result of treatment depends not only on the doctor and the method of gypsum, but also on the stage of rehabilitation, when the mobility of the leg is restored.In the future, physical work should be combined with rest, so as not to overwork the injured leg.

Prevention of fractures of heels is based on observance of safety precautions. You do not need to jump from a height, you need to try to drive carefully and observe safety precautions at work.

If nevertheless there was a trauma, then the main goal before the arrival of an ambulance is to create peace of mind to avoid such complications as the displacement of fragments, further fracture of the bone.

Reduce the manifestation of pain can be with the application of cold, with severe pain give analgesics.

A source: http://ladysmed.ru/platypodia/cyllosis/foot/prichiny-simptomy-i-varianty-lecheniya-pereloma-pyatochnoj-kosti.html