Clinical and Radiological Assessment of Intraarticular Displaced Calcaneum Fractures Operated with Locking Branched Calcaneal Plate: A Prospective Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: Calcaneal fractures are common, but are difficult to manage. Immediate concern is soft tissue problems, while long term concern is pain as sequelae of subtalar arthritis. A consensus has not been reached in the management of calcaneal fractures. Objective: This study aims to evaluate clinical and radiological outcomes of the patients managed with open reduction and internal fixation with Calcaneal Locking Plates for the displaced intra-articular calcaneal fractures presenting in the Department of Orthopaedics at Dr. R.N. Cooper muncipal general hospital, Juhu, Mumbai. Method: This was a prospective study, conducted on displaced intra articular calcaneal fractures from January 2016 through January 2018. The patients underwent open reduction and internal fixation with Locking Branched Calcaneal Plates through the extensile lateral approach. Post-operatively, ankle was mobilized after two weeks. Weight bearing was started after 12 weeks. Patients were evaluated clinically with Maryland foot score and radiologically with measurements of Boehler’s and Gissane angle. Results: Twenty cases of calcaneal fractures managed with open reduction and internal fixation with Locking Branched Calcaneal Plates were available for final evaluation. Sixteen of the enrolled patients were males in their third decade of life. On average, calcaneal fractures were operated on seven days after the injury. Sanders Type II were seen in 75% of the cases and Sanders Type III were in 25%. Mean follow-up duration was 12 months. The average Maryland foot score was 77.27. Fifteen cases (75%) had good, four cases (20%) had fair, and one case (5%) had poor outcome score. There was statistically significant improvement in Boehler’s and Gissane angle across all enrolled patients. Conclusion: Displaced intra-articular calcaneal fractures treated operatively with open reduction and internal fixation with Locking Branched Calcaneal Plates through the extended lateral approach, with proper planning of operation and surgical techniques in soft tissue handling, results in good clinical as well as radiological outcomes.
Authors and Affiliations
Jairam D Jagiasi, Amit Joshi, Manikanta Babu, Mihir R Patel, Amol Bochare, Manan Vora
Keywords
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- EP ID EP534184
- DOI 10.21276/ijmrp.2018.4.4.004
- Views 75
- Downloads 0
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