Open reduction & interal fixation of intra articular type of fracture calcaneum with locking calcaneum plate- a prospective study

  • Rai A.K. Resident
  • Goel R. Professor & HOD
  • Sisodia Y. Resident
  • Bhatia C. Resident
  • Gondane A. Resident
Keywords: interal fixation, Gissanes angle, intraarticular

Abstract

Introduction: Displaced intra articular calcaneal fracture are associated with severe disability and it is recommended that open reduction and fixation should be done to restore anatomy of subtalar joint. The intent of our study is to evaluate outcome of open reduction and fixation with locking plates in terms of foot and ankle function and complications

Materials and Methods: 25 patients with 30 fracture calcaneum (less than 3 weeks old) aged less than 50 years were included and classified according to sanders classification. Radiographs were taken to evaluate the Bohlers angle and Gissanes angle. Open reduction and internal fixation was done with locking calcaneum plateusing a lateral approach. Outcome was evaluated using Maryland foot Score.

Results : Mean age in this study was 34.2 years (22-48 years). Sanders type III was commonest in our study (46.6%). Mean preoperative Bohlers angle was 15.16°±5.58°. Postoperative Bohlers angle was 29.5°±4.07. Mean Pre opearative Gissanes angle was 16°±7.95. Mean Post opearative Gissanes angle was 123°±11.75. Average Maryland foot score was 79.7 (Good). Complications were seen in 6 patients

Conclusion: Open reduction and internal fixation of displaced intraarticular fractures of calcaneum is an excellent method with minimal complications and good to excellent results

Downloads

Download data is not yet available.

References

Bridgman SA, Dunn KM, McBride DJ, Richards PJ (2006) Interventions for treating calcaneal fractures. Cochrane Database Syst Rev4:CD001161

Epstein N, Chandran S, Chou L. Current concepts review: intra-articular fractures of the calcaneus. Foot Ankle Int. 2012; 33(1):79-86.

Sanders R. Displaced intra-articular fractures of the calcaneus. J Bone Joint Surg Am 2000;82:225-50.

Giachino AA, Uhthoff HK. Intra-articular fractures of the calcaneus. J Bone Joint Surg [Am] 1989;71:7847.

Howard JL, Buckley R, McCormack R, Pate G, Leighton R, Petrie D, et al. Complications following management of displaced intra-articular calcaneal fractures: a prospective randomized trial comparing open reduction internal fixation with nonoperative management. J Orthop Trauma 2003;17:241-9.

Barnard L, Odegard JK. Conservative approach in the treatment of fractures of the calcaneus. J Bone Joint Surg [Am] 1955;37-A:1231-6.

Kitaoka HB, Schaap EJ, Chao EY, An KN. Displaced intraarticular fractures of the calcaneus treated nonoperatively. Clinical results and analysis of motion and ground-reaction and temporal forces. J Bone Joint Surg [Am] 1994;76:1531-40.

Pozo JL, Kirwan EO, Jackson AM. The long-term results of conservative management of severely displaced fractures of the calcaneus. J Bone Joint Surg [Br] 1984;66:386-90.

Benirschke SK, Sangeorzan BJ. 1993. Extensive intraarticular fractures of the foot. Surgical management of calcaneal fractures. Clin Orthop 292: 128-34.

Leung KS, Yuen KM, Chan WS. 1993. Operative treatment of displaced intra-articular fractures of the calcaneum. Medium-term results. J Bone Joint Surg Br75: 196-201.

Lindsay WRN, Dewar FP. Fracture of Oscalcis. Am J Surg 1958; 95:555- 576

Zwipp H, Tscherne H, Thermann H, Weber T. 1993. Osteosynthesis of displaced intra-articular fractures of the calcaneus. Results in 123 cases. ClinOrthop290: 76-86.

Geel CW, Flemister ASJ. 2001. Standardized treatment of intra-articular calcaneal fractures using an oblique lateral incision and no bone graft. J Trauma 50: 1083-89.

Eastwood D. M, Gregg P.J & Atkins R. M. 1993; Intraarticular fractures of calcaneum, Part-I &II: Open reduction and internal fixation by the extended lateral trans calcaneal approach. J Bone Joint Surg Br 75B:183-95

Paul M, Peter R, Hoffmeyer P. 2004. Fractures of the calcaneum. A review of 70 patients. J Bone Joint Surg Br86: 1142-45.

Burdeaux B.D. July / August, 1983, Reduction of Calcaneal Fractures by the Mc Reynolds Medial Approach Technique, Clin. Ortho. No. 177, Pg. No. 87-103.

Leung KS, Yuen KM, Chan WS. 1993. Operative treatment of displaced intra-articular fractures of the calcaneum. Medium-term results. J Bone Joint Surg Br75: 196-201.

Stephenson JR., Nov. 1993. Surgical Treatment of Intra-articular Fractures of calcaneus Combined lateral and Medial Approach, Clin. Ortho. 290, pp. 68-75.

Peng-Ju Huang, Hsuan-Ti Huang, Tai-Bin Chen, JianChih Chen, Yen-Ko Lin, Yuh-Min Cheng &Sen- Yuen Lin Nov. 2001, Open Reduction and Internal Fixation of Displaced Intra-articular Fractures of the Calcaneus, , J. of Trauma, No. 5, 946-950.
Published
2015-12-31
How to Cite
1.
Rai A.K., Goel R., Sisodia Y., Bhatia C., Gondane A. Open reduction & interal fixation of intra articular type of fracture calcaneum with locking calcaneum plate- a prospective study. ojmpc [Internet]. 2015Dec.31 [cited 2024Apr.12];21(2):57-3. Available from: https://ojmpc.com/index.php/ojmpc/article/view/14
Section
Original Article