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- Title
COMMINUTED CALCANEAL FRACTURES TREATED WITH PLATE FIXATION.
- Authors
Taranath N.; Raju, P. K.
- Abstract
Background: Displaced intra-articular calcaneal fractures remain challenging to manage due to the complex anatomy, soft tissue envelope, and high risk of complications. This prospective study aimed to evaluate the functional and radiological outcomes of surgical treatment using open reduction and internal fixation with calcaneal locking plates. Methods: Twenty patients with displaced intra-articular calcaneal fractures underwent open reduction and internal fixation with calcaneal locking plates. Radiographic outcomes, including Böhler's angle, Gissane's angle, and calcaneal width, were assessed pre- and postoperatively. Functional outcomes were evaluated using the Maryland Foot Score (MFS). Postoperative complications and occupational rehabilitation were also recorded. Results: Radiographic outcomes showed significant improvements in Böhler's angle (from 1.7 ± 3.2° to 26.85 ± 4.1°, p < 0.001), Gissane's angle (from 158.55 ± 8.3° to 127.7 ± 6.2°, p < 0.001), and calcaneal width (from 7.58 ± 0.6 cm to 6.76 ± 0.4 cm, p < 0.001) following surgery. Functional outcomes were excellent or good in 90% of patients, with a mean MFS of 86.25 ± 8.4. Complications were observed in 20% of patients, with each of wound dehiscence, superficial skin necrosis, deep infection, and subtalar arthritis occurring in 5% of patients. Occupational rehabilitation was achieved in 80% of patients. Conclusion: Open reduction and internal fixation with calcaneal locking plates is an effective treatment for displaced intra-articular calcaneal fractures, resulting in significant improvements in radiographic parameters, good to excellent functional outcomes, and a high rate of occupational rehabilitation with minimal complications.
- Subjects
HEEL bone fractures; COMMINUTED fractures; FRACTURE fixation; OPEN reduction internal fixation; COMPOUND fractures
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 6, p366
- ISSN
0975-3583
- Publication type
Article