Keywords : high energy fractures
Outcome following open reduction and internal fixation of intra artucular calcaneum fractures in terms of complications: A prospective study
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 2770-2787
Background: Intraarticular fractures account for approximately 75% of calcaneal fractures and historically have been associated with poor functional outcome. The management of intra articular calcaneal fractures remains a controversy with strong arguments supporting both conservative & operative managements. Significant controversy remains over the results of nonoperative versus operative treatment. Lack of standardization of results has made it difficult to compare studies that have evaluated outcomes (1).
Aims and Objective: To evaluate the functional and radiological outcome of intra-articular calcaneal fractures managed surgically with a plate in terms of Bohler’s and Gissane’s angle, rate of radiological union and AOFAS score.
Methods: A prospective study including 25 patients with intra-articular calcaneal fracture who met the inclusion criteria was conducted in SGITO, Bangalore, between November 2019 and November 2020. Patients were managed surgically with plate fixation and were followed up regularly at 6 weeks, 12 weeks, 24 weeks and 1 year. Radiological outcome and functional outcome evaluated using AOFAS score.
Results: Mean age of the patients was 33.6 years. Mean time duration between injury and surgery was 7.8 days. The mean time for fracture union was 13.64±2.56 weeks. The difference between pre and post-operative mean Bohler’s and Gissane’s angle was statistically significant with p value <0.01. Out of 25 patients 4 patients (16%) had excellent, 16 patients (64%) had good, 4 patients (16%) had fair and 1 patient (4%) had poor outcome.
Conclusion: We conclude that with proper pre-operative planning, timing of surgery, intra-operative expertise of the surgeon and post-operative care, surgical management of intra-articular fracture using locking plate, gives a better outcome and minimal complications.