Volume : VII, Issue : IV, April - 2018

Functional Outcome of Plating in Calcaneal Fractures; A Prospective Study

Dr Misbah Mehraj, Dr Iqra Shah

Abstract :

Introduction: Intraarticular fractures of Calcaneum are not uncommon. Among the tarsal bonescalcaneus is most frequently fractured. Calcaneal fractures account for 60% of tarsal bone injuries and2% of all fractures. Axial loading is most common mode of injury, fall from height causing bilateralcalcaneal fractures. Other fractures associated with fall from height have to be excluded such as pelvicand spinal fractures.

Material and Methods: This is a prospective study of 20 patients with displaced intraarticular fractures (Type–II Sanders and above) of calcaneum, which were admitted to the hospital and operated withplating and bone grafting through extensile lateral approach, between January 2017 and January 2018.

Result: A total of 20 calcaneal fractures in 24 patients were randomly selected treated by plating forexample locking calcaneal plate. Among the 20, there was predominance of right sided fractures.

Discussion: Open reduction and internal fixation of displaced intra–articular calcaneal fractures by locking calcaneal plate maintains the joint congruity and decrease the incidence of subtalar arthritis. Although, conservative treatment was considered gold standard previously, there is increase tendency towards internal fixation with excellent results. Surgery for calcaneus fractures should be delayed, ideally for 10–14 days, in the presence of significant edema or fracture blister formation.

Conclusion: Based on our small study and results, we conclude that open reduction and internal fixation with locking calcaneal plate is excellent treatment option with good post operative outcome fordisplaced fracture of calcaneum, as serious complications are not significant.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Misbah Mehraj, Dr Iqra Shah, Functional Outcome of Plating in Calcaneal Fractures; A Prospective Study, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018

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