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Calcaneus Fracture, 85 yo female with L ankle calcaneus fracture Incidence Incidence of proximal hip fractures is highest in older adults, 85 yo female with L ankle calcaneus fracture Factors that affect healing inadequate immobilization, Blood supply to and within the bone usually diminishes because of the injury which causes an area of bone necrosis Dead cells prompt the migration of fibroblasts and osteoblasts as a part of the inflammatory process, 85 yo female with L ankle calcaneus fracture Treatment Open reduction with internal fixation (ORIF), 85 yo female with L ankle calcaneus fracture Diagnostic MRI, 85 yo female with L ankle calcaneus fracture Diagnostic Labs, inspected deformity internally or externally rotated limb, 85 yo female with L ankle calcaneus fracture Factors that affect healing ischemia, CABG strain on the heart leaves room for thrombosis complications, fat embolism, or shock, Labs elevated Calcium and Phosphorus