International Journal of Orthopaedics Sciences

Outcome of calcaneum fractures treated with minimally invasive fixation techniques

2019, Volume 5 Issue 1

Outcome of calcaneum fractures treated with minimally invasive fixation techniques

Author(s): Dr. Bhagawanth Kumar B Patil, Dr. Sibin Surendran and Dr. Ravikumar R
Abstract: 
Background
Incidence of calcaneum fractures are more due to fall from height and road traffic accident are on rise. Majority of the extraarticular calcaneal fractures may be treated non surgically while displaced intraarticular calcaneum fractures nedds surgical fixation for optimal outcome. Surgical fixations with open reduction and internal fixation are more prone for wound healing complications and leads to increased morbidity. Minimally invasive fixation techniques have gained popularity in the recent times due reduced wound complications. We assessed the functional and radiological (Bohlers and Gissanes angle) outcome of calcaneum fractures treated with minimally invasive fixation techniques.
Methods: 40 Patients of displaced intraarticular calcaneum fractures were treated with minimally invasive fixation techniques and followed up at 3 weeks, 6 weeks, 3 months, 6 months and one year. Functional outcomes were assessed using American association of foot and ankle score system (AAFAS) and radiological outcome were assessed by measuring Bohlers and Gissanes angle.
Results: Out of 40 patients treated with minimally invasive fixation techniques bony union occurred in all patients, functional outcome by American association of ankle and foot score (AAFAS) were 30 good, 9 fair and 1 poor. Radiological outcome showed restoration of Bohlers angle and Gissanes angle in 38 patients.
Conclusion: Minimally invasive technique for the treatment of intra articular fractures (Sanders type 2 & 3) gives good clinical and radiological outcome on short term follow up. Restoration of Bohler’s and Gissane’s angle is correlated to good functional outcomes. The complications for Essex Lopresti technique and percutaneous techniques are less compared to sinus tarsi approach in our study.

Pages: 146-150  |  1768 Views  244 Downloads


International Journal of Orthopaedics Sciences
How to cite this article:
Dr. Bhagawanth Kumar B Patil, Dr. Sibin Surendran, Dr. Ravikumar R. Outcome of calcaneum fractures treated with minimally invasive fixation techniques. Int J Orthop Sci 2019;5(1):146-150. DOI: 10.22271/ortho.2019.v5.i1c.27
 
International Journal of Orthopaedics Sciences
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