Evaluation of Patients of Intraarticular Calcaneus Fractures Treated With Open Reduction and Internal Fixation or Closed Reduction and Percutaneous Fixation
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Date
2024-07
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FORUM: Fraternity of national Research & pUblication Society of Medical sciences
Abstract
Background: Calcaneus fractures account for approximately 60% of tarsal injuries and most occur in males varying between 20–50 years of age, leading to severe impairment of day-to-day activities and complications. Patients presenting with isolated calcaneal fractures, and those sustained during high-energy injuries were commonly associated with other injuries. Within this group, Pilon-type fractures, femoral fractures, and talus dislocations were most seen. Spinal injuries are a well-documented complication of falls from height. Methodology: After radiological evaluation, preoperatively Bohler’s angle and crucial angle of Gissane were measured retrospectively. Calcaneum fractures were classified according to Essex-Lopresti and Sanders. Patients were treated surgically according to fracture geometry. Functional outcomes of fixation on intra and extra-articular calcaneum fractures were evaluated using the AOFAS Scoring system. Results: The difference between pre- and post-mean Bohler angle showed a correlation with the quality of the outcome. In all patients, the post-operative Gissane angle was less than the pre-operative, which suggested a good outcome. Subtalar joint movements (inversion & eversion) are greatly affected in displaced intra-articular calcaneal fractures. Conclusion: With good anatomical articular reduction with suitable surgical intervention along with strict post-operative rehabilitation protocol, we can achieve good to excellent outcomes
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Keywords
Calcaneus Fracture, Bohler’s Angle, Angle of Gissane, CRPF (Closed Reduction and percutaneous Fixation), ORIF (Open Reduction and Internal Fixation)
Citation
Gandhi Takshay, Amin Chirag, Panchal Shreyansh, Patel Yash, Prajapat Kamal. Evaluation of Patients of Intraarticular Calcaneus Fractures Treated With Open Reduction and Internal Fixation or Closed Reduction and Percutaneous Fixation. Indian Journal of Applied Basic Medical Sciences. 2024 Jul; 26B(2): 1-14