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. 2016 Dec;10(12):RC18-RC21.
doi: 10.7860/JCDR/2016/22332.9051. Epub 2016 Dec 1.

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

Santosha  1 , Shams Gulrez  1 , Arambam Mahendra Singh  2 , Sanjib Waikhom  3 , Vishal Pakhrin  1 , Sagnik Mukherjee  1 , Rajkumar Debbarma  1 , Prabhu Shrinivas Prashant  1
Affiliations

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

Santosha et al. J Clin Diagn Res. 2016 Dec.

Abstract

Introduction: Calcaneal 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.

Aim: To evaluate the functional outcome after open reduction and internal fixation of displaced intra-articular fractures of the calcaneum by locking calcaneal plate.

Materials and methods: The 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.

Results: After 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).

Conclusion: Open 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.

Keywords: American orthopaedic foot and ankle society; Bohler’s angle; Calcaneal fractures.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Locking calcaneal plate.
[Table/Fig-2]:
[Table/Fig-2]:
Incision and retraction with k wires.
[Table/Fig-3]:
[Table/Fig-3]:
Plating in progress.
[Table/Fig-4]:
[Table/Fig-4]:
Closure with number 10 drain.
[Table/Fig-5]:
[Table/Fig-5]:
Preoperative radiograph.
[Table/Fig-6]:
[Table/Fig-6]:
Post-operative x-ray restoring Bohler’s angle.
See this image and copyright information in PMC

References

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