Functional and Radiological Outcome of Displaced Intra-Articular Calcaneal Fractures
Abstract
Introduction: Calcaneal fractures account for 1-2% of all the fractures and may be associated with increased disability in young and middle age group. The management of these fractures are challenging and this study assesses the clinical and radiological outcomes of displaced intra articular calcaneal fractures treated by open and closed reduction techniques.
Aim: To analyse the functional and radiological outcomes of displaced intra-articular calcaneal fractures.
Methods: A total of 26 study patients were and followed during the time period June 2018 to July 2019 in Department of Orthopaedics, Thanjavur Medical College, Thanjavur. Patients between the age group 18-65 years and those with B/L and unilateral calcaneal fracture sander’s fracture classification type -2, 3 & 4 and injury less than 3 weeks were included in the study. Institutional ethics committee clearance was obtained and informed consent was taken from all the study patients before the study.
Results: The mean age was 46.28 years and males were more commonly affected. The results were best in the ORIF group with a mean AOFAS score of 81.24 and inferior in the CRIF with k wire group with a mean AOFAS score of 68.75. The cancellation screw group showed better results than the k-wire group but worse than the ORIF group.
Conclusion: The functional outcomes were best in the ORIF group and the minimally invasive techniques achieved a fair outcome and ankle functionality clinically and radiographically.
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