DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20201041

Short term outcome of open reduction and internal fixation with plating in displaced intra articular calcaneal fractures

Amit Thakur, Zubair A. Lone, John Mohd, Mohammad Azhar ud din Darokhan, Tanveer Ali, Sakib Arfee

Abstract


Background: Calcaneum fractures constitute the majority of the tarsal bone fractures worldwide. There is no gold standard consensus as of now for the management of the displaced intra articular calcaneal fractures. Open reduction and internal fixation with plating is one of the management options available.

Methods: Authors studied the results of open reduction and internal fixation with plating in 22 calcaneal fractures in a study with a minimum follow up of 6 months. Outcome was studied using Maryland foot score.

Results: Authors observed excellent results in 5 patients (22.72%), good results in 12 patients (54.54%), fair results in 4 patients (18.18%) and poor result in 1 patient (04.54%). Authors encountered wound infection in 1 patient (4.54%), heel varus in 1 patient (4.54%), heel broadening in 1 patient (4.54%), reduced range of motion at ankle in 2 patients (9.9%) and persistent heel pain in 1 patient (4.54%).

Conclusions: Open Reduction and Internal Fixation (ORIF) with calcaneum plating, through an extensive lateral approach, for displaced intra articular fractures of the calcaneum is an effective treatment modality with very good results in experienced hands.


Keywords


Calcaneal fracture, Internal fixation, Plating, Sanders’s classification

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References


Crosby LA, Fitzgibbons T. Computerized tomography scanning of acute intra-articular fractures of the calcaneus. A new classification system. J Bone Joint Surg Am. 1990;72:852-9.

Cotton FJ, Henderson FF. Results of fracture of the os calcis. JBJS. 1916 May 1;2(5):290-8.

Sanders R, Fortin P, DiPasquale A, Walling A. Operative treatment in 120 displaced intra-articular calcaneal fractures. Results using a prognostic computed tomographic scan classification. Clin Orthop. 1993;290:87-95.

Zwipp H, Tscherne H, Thermann H, Weber T. Osteosynthesis of displaced intraarticular fractures of the calcaneus. Results in 123 cases. Clin Orthopaed Related Res. 1993 May(290):76-86.

Sanders R. Current concepts review-displaced intra-articular fractures of the calcaneus. JBJS. 2000 Feb 1;82(2):225-50.

Rammelt S, Zwipp H. Calcaneus fractures: facts, controversies and recent developments. Injury. 2004 May 1;35(5):443-61.

Soeur R, Remy R. Fractures of the calcaneus with displacement of the thalamic portion. The Journal of bone and joint surgery. Bri Volume. 1975 Nov;57(4):413-21.

O'Farrell DA, O'Byrne JM, McCabe JP, Stephens MM. Fractures of the os calcis: improved results with internal fixation. Injury. 1993 Apr 1;24(4):263-5.

Joshi J, Gupta A, Menon H, Patel M, Lakhani D. Functional outcome of surgically treated sanders types II, III, IV calcaneal fractures: an observational study. IJSS J Surg. 2015 Mar;2:1-7.

Gülabi D, Sarı F, Sen C, Avcı CC, Sağlam F, Erdem M, et al. Mid-term results of calcaneal plating for displaced intraarticular calcaneus fractures. Ulus Travma Acil Cerrahi Derg. 2013 Mar 1;19(2):145-51.