Clinical Experience of Close Reduction and Internal Fixation of Displaced Intra-articular Fractures of Calcaneum

Mukherjee, DebasisRoy, SagnikDurbaraj, RakshitChakraborty, Kaushik2020-10-162020-10-162019-03Mukherjee Debasis, Roy Sagnik, Durbaraj Rakshit, Chakraborty Kaushik. Clinical Experience of Close Reduction and Internal Fixation of Displaced Intra-articular Fractures of Calcaneum. International Journal of Scientific Study. 2019 Mar; 6(12): 21-272321-595X2321-6379http://imsear.searo.who.int/handle/123456789/208692Background: Displaced intra-articular fractures of calcaneum require conventional surgical treatment using open reductionand plate screw fixation which are technically demanding and result in several soft tissue complications and morbidity.Aims and Objectives: An attempt has been made to adopt close reduction and internal fixation without opening the fractureunder fluoroscopic control avoiding the complications of open reduction.Materials and Methods: A total of 30 patients presented with displaced calcaneum fractures of age varied from 19 years to60 years, of which 25 males and 5 females were operated between December 2013 and August 2015. Under spinal anesthesia,in prone position, K-wires were passed through calcaneum and talus for Joshi’s External Stabilisation System (JESS) distraction.Some patients required elevation of subtalar articular fragment by a small window from the lateral side. After restoring thearticular anatomy, three CHSs passed under fluoroscopic control. Then, distracters were removed. Some patients needed anadditional lateral-to-medial screw fixation for holding sustantaculamtali fragment. Conventional post-operative regimen wasfollowed with weight bearing after 3 months.Results: The patients were followed for 8 months to 1.5 yrs. The patients were studied using clinico-radiologicalparameters - wound status, Bohler’s angle, the American Orthopedic Foot and Ankle Society score, and Allmacher grade. Allpatients recovered satisfactory functions in longest follow-up.Conclusion: This method is technically easy, soft tissue friendly with least complications and may be advocated for the provisionof surgical treatment for displaced intra-articular calcaneum fractures.Calcaneal fracturesJESSPercutaneous screw fiationClinical Experience of Close Reduction and Internal Fixation of Displaced Intra-articular Fractures of CalcaneumJournal ArticleIndiaTutor, Department of Orthopaedics, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India,Senior Resident, Department of Orthopaedics, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India,Speciallist Medical Officer, Department of Orthopaedics, Kanthi Subdivisional Hospital, West Bengal, India,Professor, Department of Orthopaedics,Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India