• J Clin Diagn Res · Dec 2016

    Open Reduction and Internal Fixation of Displaced Calcaneum, Intra-Articular Fractures by Locking Calcaneal Plate.

    • SantoshaPost Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India ., Shams Gulrez, Arambam Mahendra Singh, Sanjib Waikhom, Vishal Pakhrin, Sagnik Mukherjee, Rajkumar Debbarma, and Prabhu Shrinivas Prashant.
    • Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
    • J Clin Diagn Res. 2016 Dec 1; 10 (12): RC18-RC21.

    IntroductionCalcaneal fractures constitute the most common fractures in hindfoot. Lots of controversies exist in the management of calcaneal fractures but now-a-days, it is preferable to perform open reduction and internal fixation and early mobilizatation.AimTo evaluate the functional outcome after open reduction and internal fixation of displaced intra-articular fractures of the calcaneum by locking calcaneal plate.Materials And MethodsThe study was conducted in the Department of Orthopaedic Surgery from September 2013 to April 2016. Thirty intra-articular fractures of the calcaneum were treated by locking calcaneal plate. Patients were followed up for a period of 24 months. Bohler's angle was measured in preoperative, immediate Post-operative period and after 2 years, follow-up was compared. Results were evaluated according to American Orthopaedic Foot and Ankle Society (AOFAS) Score.ResultsAfter 24 months of follow-up, all 24 patients were available for evaluation. Radiological union was achieved in a mean time of 12.5 weeks. Mean duration of hospital stay was 21 days. Bohler's angle was significantly higher after 2 years of follow-up when compared with preoperative x-ray. According to the AOFAS, Ankle-Hind foot Scale outcome score results were excellent in 43.3% of the patients, good in 33.3%, fair in 10%, and poor in 13.3% of patients. The mean AOFAS score was 79.9 (Range 49-96).ConclusionOpen reduction and internal fixation of intra-articular fractures of the calcaneum with locking calcaneal plate gives good results. Maintenance of calcaneal height and Bohler's angle helps to decrease the incidence of subtalar arthritis.

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