Short Term Outcome Of Various Modalities of Internal Fixation For Treatment of Calcaneum Fractures-A Prospective Nonrandomised study of 50 Cases

DR. RUTVIJ PANCHOLI

Volume : VIII, Issue : II, February - 2019

Short Term Outcome Of Various Modalities of Internal Fixation For Treatment of Calcaneum Fractures-A Prospective Nonrandomised study of 50 Cases

Dr. Rutvij Pancholi

Abstract :

Objectives: To study different modalities of the fixations in displaced intraarticular fractures as well as to evaluate the outcome of displaced intraarticular calcaneum fractures treated by different methods of surgical treatment according to Creighton Neaska scoring system Materials and Methods This prospective study was carried out at the department of orthopaedics,Sir T Hospital,Bhavnagar. In this study,around 50 patients with calcaneum fractures were included. 36 patients having joint depression type of fractures treated with either ORIF with plating or percutaneous fixation while rest 14 patients having tongue type fractures treated with percutaneous fixation. The patients were evaluated using Creighton Neaska scoring system. Observations: The Creighton Neaska score in the category of excellent as well as good was found to be 25% for open reduction group of joint depression fractures, 19% for percutaneously treated joint depression fracture and 57% for the percutaneously treted tongue type fracture group. Conclusion: In case of joint depression fractures, ORIF yields comparatively better results than percutaneous reduction.The operative treatment yields better results in tongue type fracture compared to joint depression type fracture. SUMMARY: For joint Depression fractures; 25% of patients treated with ORIF & Plating had excellent to Good outcome whereas 58% of patients had Fair Outcome. For Tongue type Fractures All Patients were treated in closed manner and 57% of the patients had excellent to good outcome whereas 43% had air outcome. For Joint Depression Fractures treated Percutaneously 19% patients had Good Outcome whereas 50% patients had Fair Outcome.