Management of the displaced intra articular fracture calcaneum by open reduction & internal fixation with the locking calcaneum plate: A study
Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2018, Vol 4, Issue 1
Abstract
Introduction Since the midnineties open reduction and internal fixation is considered as the gold standard treatment for the displaced intraarticular fractures of the calcaneus by most experts However there still remains dilemma regarding the adequate management strategy for these complex and unsolved fractures hence the intent of our study is to resolve many of the issues related to this fractureMaterials and Methods25 patients of closed fracture calcaneum Type 2 3 4 Sanders classification operated with the open reduction internal fixation between the year 2011 and 2014 were included in the study During followup pain functional outcome range of motion etc were evaluated with the use of the Maryland Foot Score MFSResultsWe studied 25 patients who had a combined total of 30 closed displaced intraarticular calcaneal fractures of Type 2 3 4 Sanders classification for a mean followup period of 134135 months Complications seen postoperatively were persistent swelling in 2 cases 66 Skin complications in 2 cases 66 The pre and postoperative values of Bohler39s angle Gissanes angle height and width show restoration of normal anatomy and this change in the values was significant as pvalue was 0 125 Good ConclusionOverall quality of fracture reduction as judged by restoration of Bohlers angle Gissanes angle height and width were good So open reduction and internal fixation should be the treatment of choice in such fracturesLevel of incidenceTherapeutic Level IVKeywordsCalcaneum Bohlers angle Gissanes angle Maryland foot score Locking calcaneal plate
Authors and Affiliations
Yogesh Sisodia, Mukesh Haritwal, Rajesh Goel, Kishan Gopal Nama
Keywords
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- EP ID EP486039
- DOI 10.18231/2455-6777.2018.0005
- Views 48
- Downloads 0
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