Functional outcomes of different modalities of fixation in intra-articular calcaneus fractures
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 4
Abstract
Background: Closed manipulation and percutaneous screw fixation, minimal sinus tarsi approach reduction and screw fixation, open reduction and plate fixation these all useful in management of intraarticular calcaneus fracture management. In this study we used all these three different methods and evaluate outcome on postoperative follow up with different modalities of treatment. Material and Methods: A series Twenty-Five patients with intraarticular calcaneus fractures were included in this analysis. Essex-Lopresti classification was used to evaluate the injuries and their prognostic correlation tested. Bohler’s angle and Gissane`s angle was measured pre- and postoperatively and evaluated as radiological outcome. Clinical outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS). Results: A total of 25 patients with intraarticular fractures out these 24 patients having unilateral calcaneus fracture and 1 patient having bilateral calcaneus fracture. All were male patients with a mean postoperative follow-up of 24 months. Overall mean age of patient was 48 years old. The most frequent cause of trauma was a fall from a height. According to Essex-Lopresti, there were 21 joint depression type fractures, and 4 tongue type. Clinical outcome on follow up measured with AOFAS score and we found out of 25 patients 13 patients with excellent AOFAS score,10 patients with good AOFAS score and 2 patients with fair AOFAS score. The restoration of the Bohler’s angle and Gissane’s angle achieved most frequently. Conclusion: Internal fixation either in the form of percutaneous screw fixation or plate fixation effective and useful in management of intraarticular calcaneus fracture.
Authors and Affiliations
Rajesh V Chawda, Dhaval M Ninama, Vijay Patel, Jigar Patel
Keywords
Related Articles
- EP ID EP507070
- DOI -
- Views 58
- Downloads 0
A report of 4 cases, on a rare entity of schwannoma in limbs i.e, outside the central nervous system
Schwannomas are lobulated, encapsulated tumours that arise from the neurilemmal cells in nerve sheaths Schwannomas are commonly seen in the central nervous system. Its occurrence in the peripheral nervous system is rare....
Comparative study between Austin Moore prosthesis and bipolar prosthesis in fracture neck of femur
Background and Objective: Femoral neck fractures have been considered ‘unsolvable fracture’ in the olden era of orthopaedics due to high rate of associated complications, which include nonunion and avascular necrosis of...
Implant of choice in the management of intertrochanteric fractures in south Indian rural population - A comparative study
Background: Intertrochantric fractures are common in elderly osteoporotic patients due to trivial trauma and in young due to high energy trauma. The ultimate goal in the management of intertrochanteric fracture is early...
A comparison of hematological outcomes with and without a pneumatic tourniquet in primary total knee arthroplasty
Background: Tourniquet application is still a common practice in total knee arthroplasty surgery despite being associated with several adverse effects. We evaluated the effects of tourniquet use on hematological paramete...
Evaluation of results of surgical management of closed intra-articular fractures of distal end Humerus
Introduction: The management of distal humeral fractures has evolved over the last few years. In intra articular fracture of the lower end Humerus the primary goal is to achieve a stable and mobile elbow. Until now, disa...