Mid-term results of calcaneal plating for displaced intraarticular calcaneus fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Calcaneum fractures account for approximately 2% of all fractures, with displaced intra-articular fractures comprising 60% to 75% of these injuries. There are many methods of stabilization of calcaneal fractures, each having their own merits and demerits. The plate fixation has improved the functional results, limited indication for bone grafting, and shortened the duration of treatment. Materials and Methods:30 displaced calcaneal fractures were surgically treated in GMC Jammu between January 2015 and May 2017 were included in this study. Ten were excluded due to lack of follow up, which left the study group of 20 displaced intraarticular calcaneus fractures. Only closed fractures were included in this study. Fractures were classified according to Sanders Classification and only Sanders type 2 and type 3 fractures were included in this study. The extended lateral incision was used in all patients. All patients were evaluated according to the Maryland foot score and on their last follow-up day. Results: The average follow-up time was 18 months (12 to 24 months). Twelve fractures were Sanders type 2 (60%), 8 were type 3 (40%). According to Maryland foot score, very good results were obtained in 6 patients (3.33%) and good results in 4 patients (20%) in Sanders type 2 fractures; good results were obtained in 8 patients (40%) and average results in 2 fractures (10%) in Sanders type 3 fractures. Conclusion: In light of both the available literature and our own experience, we conclude that open reduction and a stable fixation method yield more satisfactory results when compared to the conservative treatment methods in the treatment of displaced intraarticular calcaneus fractures.
Authors and Affiliations
Mohd Irfan Banday, Jabreel Muzaffar, Mohd Bilal Kaleem
Keywords
Related Articles
- EP ID EP487513
- DOI 10.22271/ortho.2018.v4.i3a.08
- Views 113
- Downloads 0
Late presentation of congenital pseudarthrosis of the clavicle
Congenital pseudarthrosis of the clavicle is a rare clinical entity, first described in 1910. We report on a 15 year old girl, who presented with a painless lump over mid-portion of right clavicle at her routine newborn...
Open reduction and internal fixation in proximal humerus fractures by proximal humerus locking plate: A study of 60 cases
Introduction: With respect to approach of proximal humerus fractures there has been a wide variation in optimum modality of treatment ranging from conservative treatment to total and reverse shoulder arthroplasty. We hav...
Functional outcome of displaced proximal humerus fractures treated conservatively versus open reduction internal fixation with locking compression plate
Introduction: The field of orthopedic surgery has been in the vanguard in creating new information, establishing new principles of treatment and solving both new and old problems of musculoskeletal system. Fractures of p...
Arthroscopy assisted MPFL reconstruction by anatomic inverted ‘V’ tunnels placement technique
Background: The medial patellofemoral complex, consisting of the medial patellofemoral ligament (MPFL) and the medial patellotibial ligament, is the main passive stabilizer of the patellofemoral joint. Since it has been...
Functional outcome of bilateral total knee arthroplasty: A two-year prospective study
The wider adoption of simultaneous bilateral TKA has been limited due to the reports of the associated risk of mortality and perioperative complications. The present study evaluated the safety of single-stage bilateral t...