A STUDY OF AN OPERATIVE OUTCOME OF JOINT DEPRESSION VARIETY OF INTRA ARTICULAR CALCANEAL FRACTURES

Dr. Keyurkumar J Patel; Dr. Naitik M Chhatrala

Volume : V, Issue : IV, April - 2016

A STUDY OF AN OPERATIVE OUTCOME OF JOINT DEPRESSION VARIETY OF INTRA ARTICULAR CALCANEAL FRACTURES

Dr. Keyurkumar J Patel, Dr. Naitik M Chhatrala

Abstract :

1.Background and objectives: Calcaneum fracture when severe and comminuted leaves behind a lifelong disability. Study conducted for the results of operative management of joint depression type of intra–articular calcaneal fractures and To assess functional outcome in patients as per AOFAS Score and disability score associated with outcome of method of reduction (open or closed). 2. Methods: The study conducted at Civil hospital Ahmedanbad ,Gujarat, from july 2014 to Dec 2015.This study presents, 24 cases of calcaneal fractures in 20 patients with 4 patients had bilateral injury. Out of 24 cases, open reduction and intenal fixation was used in 12 cases, while rest 12 cases were treated by closed reduction with ESSEX LOPRESTI technique of ST pin elevation. 3. Results: Most common occurrence of calcaneum fracture in young adult male due to fall from height and half of the patients managed with closed reduction and percutaneous pinning and rest were treated with open reduction and internal fixation with platting. AOFAS score at final follow up for both the modality were non–significant (p<0.05).Malunion was more common in closed reduction method and infection rate was high in open reduction technique. 4. Interpretation and conclusion: The operative treatment in intra–articular calcaneal fractures yields overall better functional outcome. Restoration of Bohler‘s angle and joint congruity are consistently associated with better functional outcome. The operative outcome based on AOFAS score after open reduction is better than closed reduction. But closed reduction technique is useful in selected patients with co–morbidities and poor local condition. Types of implants used for fracture fixation do not significantly affect ultimate results. Instead the overall final outcome depends on restoration calcaneal height and subtalar joint congruity