CALCANEUM FRACTURES: OVERALL OPERATIVE OUTCOMES.

Ejajahmed Ansari, Dhaval Ninama, Hitesh Panchal, Harshal Damor

Abstract


objective: calcaneum fracture are most common fractures among tarsal bone fracture. We try to study overall operative
outcome of calcaneum fracture.
Material and method: In this study we include 25 male patients with age range of 20 years to 65 years, having
intraarticular calcaneum fracture treated surgically and they are followed for minimum one year postoperatively. we use
two type of fixation method one is percutaneous screw fixation and other is anatomical plate fixation. We observed that
Eleven (44%) patients having fixation with platting, thirteen (52%) patients with percutaneous screw and one (4%)
patients having bilateral intra-articular calcaneus fracture with right sided percutaneous screw fixation and left sided
plate fixation.
Results: Outcomes measured with AOFAS Score and we found Excellent results in 13(52%)patients, Good in 10 (40%)
patients, Fair in 2 (8%) patients with none having poor outcomes.We found 94% excellent to good functional outcome in
our operated patients.
Conclusion: Operative outcomes of intra-articular calcaneus fracture with all modalities of fixation shows better results.


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References


Deniz GÜLABİ,Ferdi SARI, Cengiz ŞEN, Cem Coşkun AVCI, Fevzi SAĞLAM, Mehmet ERDEM, Güven BULUT, Mid-term results of calcaneal plating for displaced

intraarticular calcaneus fractures, Ulus Travma Acil Cerrahi Derg 2013;19 (2):145-151.

Potter MQ, Nunley JA. Long-term functional outcomes after operative treatment for intra-articular fractures of the calcaneus. J Bone Joint Surg Am 2009;91:1854-60.

Sayed-Noor AS, Agren PH, Wretenberg P. Interobserver reliability and intraobserver reproducibility of three radiological classification systems for intra-articular calcaneal fractures.Foot Ankle Int 2011;32:861-6.

Giachino AA, Uhthoff HK. Intra-articular fractures of the calcaneus. J Bone Joint Surg [Am] 1989;71:784-7.

Howard JL, Buckley R, McCormack R, Pate G, Leighton R, Petrie D, et al. Complications following management of displaced intra-articular calcaneal fractures: a prospective randomized trial comparing open reduction internal fixation with nonoperative management. J Orthop Trauma 2003;17:241-9.

Barnard L, Odegard JK. Conservative approach in the treatment of fractures of the calcaneus. J Bone Joint Surg [Am] 1955;37-A:1231-6.

Kitaoka HB, Schaap EJ, Chao EY, An KN. Displaced intraarticular fractures of the calcaneus treated non-operatively.Clinical results and analysis of motion and ground-reaction and temporal forces. J Bone Joint Surg [Am] 1994;76:1531-40.

Pozo JL, Kirwan EO, Jackson AM. The long-term results of conservative management of severely displaced fractures of the calcaneus. J Bone Joint Surg [Br] 1984;66:386-90.

Pendse A, Daveshwar RN, Bhatt J, Shivkumar. Outcome after open reduction internal fixation of intra articular fracture of calcaneum without use of bone graft. Indian J Orthop 2006; 40 (2): 111-114.

Nambiar MR, Umesh SN, Kamath KR. Percutaneous pin fixation of calcaneal fractures. J Orthop Assoc South Ind 2004 ; 1 : 64-67

Sanders R,Fortin P,Dipasquale T and Walling A. Operative treatment of 120 displaced intra-articular calcaneal fractures:Results using a computed tomography scan classification. Cl in. Orthop 1993;290:87-95

Leung KS,Yuen KM,Chan WS.Operative treatment of displaced intra-articular fracture of calcaneum.J Bone Joint Surg(Br)1993 ;75: 196-201.

Dr Paul Tornetta 111.The Essex-Lopresti reduction for calcaneal fractures revisited- highlights of 1997 OTA meeting.) Orthop Trauma 1998;12;7:469-473.

Essex Lopresti P.The mechanism,reduction technique,and results in fracture of the os calcis.Brj Surg 1952;39:395-419.

Filial A,Basappa P,Ehrendorfer S.Modified Essex LoprestifWestheus reduction for displaced intra-articular fractures of the calcaneus,Description of surgical technique and early outcomes.Acta Orthop Belg 2007;73;1:83-7.

Mohammed F. Mostafa,Garnal El-Adi,Ehab Y. Hussanin,M-Serry Abdellatif.Surgical treatment of displaced intraarticular calcaneal fracture using a single small lateral approach.Strat Trauma Limb Recon 2010;5:87-95

V. Rak, D. Ira, M. MasekOperative treatment of intra-articular fractures with calcaneal plates and its complications Indian J Orthop, 43 (3) (2009), pp. 271-280

N. Gusic, I. Fedel, N. Darabos, Z. Lovric, N. Bukvic, B. Bakota, D. LemacOperative treatment of intraarticular calcaneal fractures: anatomical and functional outcome of three different operative techniques Injury, 46 (Suppl 6) (2015), pp. S130-S133

Biz C, Barison E, Ruggieri P, Iacobellis C. Radiographic and functional outcomes after displaced intra-articular calcaneal fractures: a comparative cohort study among the traditional open technique (ORIF) and percutaneous surgical procedures (PS). J Orthop Surg Res 2016;11(1):92

Su, Y., Chen, W., Zhang, T. et al, Bohler’s angle’s role in assessing the injury severity and functional outcome of internal fixation for displaced intra-articular calcaneal fractures: a retrospective study.BMC Surg. 2013;13:40.

Paley D,Hall Hintraarticular fracture of calcaneus:a critical analysis of result and prognostic factors., bone Joint Surg Am 1993;75-A:342-354


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