European Journal of Molecular & Clinical Medicine

Abstract

The treatment of intra-articular displaced calcaneal fracture is debatable. We conducted comparative study to operative and non-operative treatment for intra-articular displaced calcaneal fractures. Patients were assigned to two groups based on the treatment given (operative and non-operative) and were regularly followed for a period of 12 months. The outcome measures were assessed by Modified Rowe’s Score (MRS), Visual Analogue e Scale (VAS) and The American Orthopaedic Foot and Ankle Society (AOFAS) scale. The outcome related to patient’s job was noted after one year and compared with pre-injury status. 46 calcaneal fractures were studied. 22 of them were operated and 24 were treated conservatively. Out of 22 operated cases, Bohler’s angle was restored in 18 cases and these had good results with all three outcome scores at 1 year follow up and remaining 4 cases showed fair results. 24 cases treated with cast also showed fair results. The overall outcome of operated cases were better than non-operated cases Operative treatment of displaced intra-articular calcaneal fractures gave good results at one year follow up, provided Bohler’s angle was restored to normal range. Non operative treatment gave fair results. Complications were seen both with operative and non-operative treatment.