A Comparative study of outcome between operative and non-operative treatment of intra-articular calcaneal fractures

Author(s): Venu Madhav HV and Avinash Kumar

Abstract: Open reduction and internal fixation has the advantage of anatomic reduction and rigid internal fixation of the subtalar joint. All patients were treated with operative management based on our inclusion criteria - Age group between 19-50 years, displaced intra-articular calcaneal fractures with >2mm step, decrease in Bohler’s angle <20 degrees., and increase in Gissane’s angle >115 degrees. Only sanders II, III, and IV part fractures were included in the study. Calcaneal fractures caused by fall from height includes 27 fractures (84.37%) and by Road Traffic Accident includes 5 fractures (15.6%) overall. The average time from injury to surgery was 12 (range 6-19) days. All patients were grafted with autogenous graft in 13 patients (76.5%) and G-bone in 4cases (23.5%).