Functional Outcome of Surgically Managed Calcaneal Fractures

Surya Chandramurthy, Vivek Dubey, Rajeev Reddy, Hardik Kapopara, Sunil Shahane, Ashwin Samant
2017 International Journal of Contemporary Medical Research   unpublished
Fractures of Calcaneum are the most common of all tarsal fractures. The treatment of displaced intra-articular fractures is controversial. Earlier, most of the fractures were treated conservatively in plaster cast. These days some surgeons are operating the fractures of calcaneum with improved surgical techniques. The present study was conducted with the aim to to evaluate the functional outcome of surgically managed calcaneal fractures. Material and methods: The present study included patients
more » ... y included patients who were between 18-60 years of age and belonged to ASA grade I and II classification. A sample of 100 was selected. A complete history of patients were obtained along with a thorough clinical examination was done. The fractures in our study were joint depression type with 8 patients having Sander's type II and 17 having Sander's type III fracture. The patient was then posted for open reduction internal fixation with 6 holed 3.5mm contoured recon plates or calcaneal plates. Follow up was done clinically and radiologically at 12weeks, 6 months, and 1year. SPSS software was used for analysis. Results: There were 40 patients operated in Dr. R.N. Cooper hospital from Feb 2010 to Feb 2014. Out of 40 patients, 15 patients were lost to follow up. The mode of injury for all the patients was fall from height. All the operated patients had a joint depression type of fracture. Of the 25 patients, 23 were males and 2 were females. Of the 25, 16 had good results with mean AOFAS score of 83.6, 7 had fair results with mean score of 73.28 and 2 had poor results with mean score of 54. Conclusion: From the above study we can conclude that open reduction and rigid fixation offers good post operative results. It allows for early mobility with less of complications