Indications for Use
The Tornier Calcaneal Fracture Plate System is indicated for fractures and osteotomies of the calcaneus, including, but not limited to extra-articular, intra-articular, joint depression, tongue-type and severely comminuted fractures.
Contraindications for Use
- Sepsis, systemic infection, elevated WBC count, fever and/or local infection or inflammation.
- Persisting skin lesion or poor skin coverage around the ankle that would make the procedure unjustifiable.
- Neuromuscular or psychiatric disorders which might jeopardize fixation and post-operative care.
- Suspected or documented metal allergy or intolerance.
- Inade quate neurovascular status.
The WAVE Technique
The incision is a small 5-8 cm incision over the subtalar joint. This provides direct visualization of the posterior facet and anterior process. A smaller secondary incision can be made posteriorly for screw insertion on the posterior leg of the plate.
Reduction is achieved with percutaneous manipulation using the T-handle and shanz pin and fragment reduction using guidewires for stabilization and subsequent fixation of the plate.
Reduction is achieved with percutaneous manipulation using the T-handle and shanz pin and fragment reduction using guidewires for stabilization and subsequent fixation of the plate.
References
1. A. Koski, H. Kuokkanen, E. Tukiainen Helsinki University Central Hospital, Department of Plastic Surgery, Helsinki, Finland, POSTOPERATIVE WOUND COMPLICATIONS AFTER INTERNAL FIXATION OF CLOSED CALCANEAL FRACTURES: A RETROSPECTIVE ANALYSIS OF 126 CONSECUTIVE PATIENTS WITH 148 FRACTURES; Scandinavian Journal of Surgery 94: 243–245, 2005
Supporting Documentation
Instrumentation - Top Tray
Instrumentation - Bottom Tray

