Vol. 7, Issue 1 (2021)
Comparative study of operative with nonoperative management of calcaneal fracture
Author(s):
Dr. Ashish Kumar Paswan, Dr. Nand Kumar and Dr. Ashutosh Kumar
Abstract:
Purpose: The treatment of fractures of the calcaneum remains controversial. There is no consensus in the current literature regarding the optimal treatment of fractures of the calcaneum. In the current study, we intend to compare the outcome of operative and conservative management based on the objective criteria, i.e., restoration of Bohler's angle, subtalar range of motion, and subjective criteria such as pain, return to work, return to physical activity, and change in shoe wear.
Materials and Methods: This is combined retrospective and prospective (from May 2018 to June 2020) study of 25 calcaneum fractures in 24 patients treated in Darbhanga medical college Laheriasarai & Hospitals. Pretreatment and posttreatment (at follow-up) Bohler's angle were also compared.
Results: Restoration of the Bohler's angle was better with operative management as compared to conservative management. In our study, the results of type I fractures managed conservatively had a better outcome than those of displaced fractures and the difference was statistically significant. Furthermore, type II and type III fractures had a better outcome with operative management, but the difference was not statistically significant. In type IV fractures, operative management was significantly better than conservative management. A significant correlation was seen between the posttreatment Bohler's angle and C-N scores.
Conclusions: Conservative management has better functional outcome for undisplaced fractures. For displaced and comminuted fractures, anatomical reduction and restoration of Bohler's angle is very important. Bohler's angle has a prognostic importance and correlates well with the functional outcome.
Pages: 275-277 | 817 Views 203 Downloads
How to cite this article:
Dr. Ashish Kumar Paswan, Dr. Nand Kumar and Dr. Ashutosh Kumar. Comparative study of operative with nonoperative management of calcaneal fracture. Int. J. Orthop. Sci. 2021;7(1):275-277. DOI: 10.22271/ortho.2021.v7.i1e.2497