Abstract

    Open Access Research Article Article ID: OJOR-3-115

    Outcome of Treatment of Displaced Intrartcular Fracture Calcaneus by Plate and Screws

    Shwan Mohammed Mustafa* and Las Jamal hwaizi

    Background: Management of calcaneal fractures has always been in controversy. Many treatment techniques have been described. In this prospective study, we studied the functional outcome of surgically treated intra-articular calcaneal fracture. 

    Aim of study: To study the functional outcomes and complication in the surgically managed calcaneal fracture. 

    Patient and Methods: A total of 24 Patients with 26 calcaneal fractures operated in west emergency and Erbil teaching hospital over a period of 18 months (January 01, 2016 to August 01, 2017) were included in the study, Pre-operative computed tomography (CT) scans carried out in all patients. Maryland foot score was used to evaluate to assess the functional outcome and study complication. 

    Results: Twenty-four patients (22 unilateral and 2 bilateral), mean follow up 18 month, the mean age being 35.41 years (range 18-60 years), consisting of 3(12.5%) female and 21(87.5%) male were included in the study. Most common mode of injury was fall from height in 23(95.8%) patients, while road traffic accident was in 1(4.16%) patients. Three patients had associated spinal injuries. Results according to Maryland foot score were excellent in 25%, good in 62.5%, and none of the patients had poor results. Complications include synovitis, broadening and superficial infection. 

    Conclusion: ORIF with restoring the articular congruity with low profile locking plate is the ideal treatment for joint depression type and Sanders Type II/III and IV. Even Sanders Type IV (which was thought to be associated with poor results) had a good outcome in short-term follow-up. Use of proper surgical timing/technique/under aseptic precaution can lead to good or excellent results in more than 90% of patients and avoiding the majority of the complications. Thus ORIF in these patients should be encouraged.

    Keywords: Calcaneum fracture; Plate; Screw

    Published on: May 3, 2018 Pages: 12-19

    Full Text PDF Full Text HTML DOI: 10.17352/ojor.000015
    CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat

    Indexing/Archiving

    Case Reports

    Pinterest on OJOR