The Results of Various Surgical Management of Fracture Calcaneum: Comparative Evaluation and Complications


Authors : Dr. Ashutosh Verma; Dr. Atul Kumar Saroj; Dr. Shailesh Kumar; Dr. Subham Khandelwal; Dr. Surendra Gahlot; Dr. Gaurav Kumar Singh

Volume/Issue : Volume 7 - 2022, Issue 4 - April

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3Mbdy7B

DOI : https://doi.org/10.5281/zenodo.6542787

Fracture of calcaneum results in serious and prolong disability. Considering the high rate of malunion and severe loss of function, it will be better to choose open reduction and internal fixation as a primary mode of treatment for the calcaneum fractures. Methodology: The present study consists of 45 fractures of calcaneum treated by open reduction and internal fixation and subtalar arthrodesis. Of the 45 fractures, 16 (35.56%) were treated by open reduction internal fixation by plates within 2 weeks of injury and 29 (64.44%) treated by percutaneous k-wire or Steinman pin or C-C screw. Results: At final follow up group A patients treated by plate) has mean AOFAS score was 89.28 however group B patients ( treated by pin or C-C screw) has it was 79.53 with p-value ≤0.0001. Conclusion: Early motion prevent stiffness of subtalar joint and ankle joint and leads to early function and psychological rehabilitation. Open reduction and internal fixation by plating is safe and effective method of treating displaced intra-articular fracture of calcaneum.

Keywords : Calcaneum plate; calcaneum fracture; Steinman pin; AOFAS score.

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