Comparing Treatment Outcomes of Intra-Articular Fracture of Calcaneum with Steinmann Pin (K- Wire) and Plating
Journal Title: Journal of Orthopaedic Education - Year 2018, Vol 4, Issue 2
Abstract
Introduction: Calcaneal fractures usually occur by a fall from height when one lands on their feet. In this study we aimed to compare the functional outcome and radiological findings after treatment by steinmen pin (K-wire) and by plating method. Methodology: We designed a prospective study of all patients who were admitted and operated for calcaneum fractures in the Department of Orthopedics, Padmashree Dr. D. Y, Patil Medical College, Hospital & Research Centre, Navi Mumbai, Maharashtra from July 2015 till December 2017. Of the 30 cases, half received treatment with K-wire and the other half of the patients underwent plating. Baseline characteristics, pre- and post-operative Bohler’s and Gissane’s angles and complications were noted for all patients. Functional outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS). Results: Bohler’s angle increased significantly postoperatively (p<0.05) for both the group of patients. Similarly Gissane’s angle decreased in the postoperative period significantly (p<0.05). Of the patients who received K-wire, 5 patients (34%) had excellent outcome, 6 patients (40%) had good outcome, 2 patients (13%) had fair outcome while 2 patients (13%) had poor outcome. For the patients who underwent plating procedure, 7 patients (47%) had excellent outcome, 6 patients (40%) had good outcome while 2 patients (13%) had fair outcome. In the group which received Kwire treatment, 5 out of 15 patients developed heel pain while 3 patients had subtalar and ankle stiffness. In the group which underwent plating, 2 out of 15 patients got wound infection while 1 had subtalar and ankle stiffness. Conclusions: Cannulated screw and plate fixation have similar clinical outcomes. Future studies are needed to support our findings.
Authors and Affiliations
Sachin Y. Kale
A Retrospective Analysis of Bone Tumours at Tertiary Care Hospital of Rural India: A 5 Years Analysis
Background: Bone tumours are less commonly encountered lesions, and they pose a definite diagnostic challenge. Aims and Objective: The aims and objective of this study is to determine the incidence of bone tumours report...
Lumbar Artificial Disc Replacement: A Review
This study reviewed the literature on the treatment of symptomatic lumbar degenerative disc disease with artificial disc replacement which has the advantage of motion preservation. This technique is evolving with continu...
Comparision of DHS/TFN in Stable Intertrochanteric Fractures
Surgical management of intertrochanteric fractures is the preferred treatment to avoid complications of prolonged immobilization. Dynamic Hip Screw (DHS) has been the gold standard. Intramedullary devices have biomechani...
Functional Outcomes after Triceps Sparing Surgery for Distal Humerus Fractures
Introduction: Surgeon’s primary goal in distal humerus fracture is to obtain fixation with sufficient stability so that the elbow can be mobilized as early as possible. The present study aimed at assessing the functional...
Surgical Management of Clavicle Fracture in Tertiary Care Centre: A Clinical Study
Introduction: Clavicle fracture is one of the commonest traumatic injuries around shoulder girdle due to its subcutaneous position.Despite the poor outcome like mal-union and non-union in severely displaced clavicle frac...