Indian Journal of Orthopaedics Surgery

Innovative Education and Scientific Research Foundation

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Registered Under Government of India NGO – Indian Trust Act 1882

Functional and anatomical outcome of displaced intraarticular fractures of calcaneum treated using locking plate fixation

Article : Open access

Article type : Research Article

Volume : 6

Issue : 2

Year : 2020

Author : Somashekar, Jai Adiya Jhamb, Anudeep N Naik

Page no : 111-116

Abstract : Most calcaneal fractures are intraarticular fractures involving the posterior facet of the subtalar joint. Treating displaced intraarticular calcaneal fractures is challenging due to the paucity in optimal treatment options. Internal fixation typically involves screw-and-plate implants, which can be unfavourable owing to the lack of an anatomic design and the intraoperative bending required for the plate to contour to the irregular surface of the calcaneus. In our study we included fifteen patients, two were female and the rest thirteen were male. The mechanism of injury involved road traffic accident in two cases and fracture as a result of fall from height in the remaining patients. These patients were followed up for 6 months at the end of which functional outcome was assessed in all patients using the Ankle-Hind foot scale, that included assessment of pain, function, maximum walking distance, gait abnormality, graded difficulty in walking on different surfaces, motion, stability of ankle and alignment of ankle and foot. Based on this scale 10 patients (66.6%) had good outcome, 4 patients had fair outcome (26.6%) while 1 patient (6.66%) had poor outcome. The results were promising, revealing that the anatomic locking plate can be used effectively in the treatment of displaced intraarticular calcaneal fractures using simple reduction techniques with a potentially shortened operating time. Keywords: Calcaneum.