Mid-term results of calcaneal plating for displaced intraarticular calcaneus fractures

Author(s): Mohd Irfan Banday, Jabreel Muzaffar and Mohd Bilal Kaleem

Abstract: Introduction: Calcaneum fractures account for approximately 2% of all fractures, with displaced intra-articular fractures comprising 60% to 75% of these injuries. There are many methods of stabilization of calcaneal fractures, each having their own merits and demerits. The plate fixation has improved the functional results, limited indication for bone grafting, and shortened the duration of treatment. Materials and Methods:30 displaced calcaneal fractures were surgically treated in GMC Jammu between January 2015 and May 2017 were included in this study. Ten were excluded due to lack of follow up, which left the study group of 20 displaced intraarticular calcaneus fractures. Only closed fractures were included in this study. Fractures were classified according to Sanders Classification and only Sanders type 2 and type 3 fractures were included in this study. The extended lateral incision was used in all patients. All patients were evaluated according to the Maryland foot score and on their last follow-up day. Results: The average follow-up time was 18 months (12 to 24 months). Twelve fractures were Sanders type 2 (60%), 8 were type 3 (40%). According to Maryland foot score, very good results were obtained in 6 patients (3.33%) and good results in 4 patients (20%) in Sanders type 2 fractures; good results were obtained in 8 patients (40%) and average results in 2 fractures (10%) in Sanders type 3 fractures. Conclusion: In light of both the available literature and our own experience, we conclude that open reduction and a stable fixation method yield more satisfactory results when compared to the conservative treatment methods in the treatment of displaced intraarticular calcaneus fractures.

DOI: https://doi.org/10.22271/ortho.2018.v4.i3a.08