Abstract
BACKGROUND In a retrospective prospective study we analysed calcaneal fractured treated with calcaneal plate with bonegraft
MATERIALS AND METHOD This is a retrospective–prospective study of 30 patients with displaced intraarticular fractures(Type–II Sanders and above) of calcaneum,which were admitted to the hospital and operated with plating and bonegrafting through extensile lateral approach, between May 2013 and October 2016. Those admitted and operated for intraarticular fracture of calcaneum in the hospital, with plating and/orbone grafting, through extensile lateral approach, between April 2014 and July 2016, and following up in the outpatient department of the hospital and also those admitted and operated in the hospital with the same protocol between May 2013 and July 2016 were selected for the study.The follow–up ranged from 6 months to 30 months.
RESULTS In the present seriesthe clinicaloutcome for sixteen (80 percent) of twenty feetwas good or excellent. Three feet (15
percent) had a fair result,and one (5 percent) had bad result. Of seven feet that had a type–III fracture, four (57.14percent) had
an anatomical reduction of the posterior facet,and three feet had a nearly anatomical reduction. Clinically, there were three
(42.86 percent) good results, two fair results (28.5 percent), and two (28.5 percent) bad results. One patient is having continuous pain and subtalar arthrodesis is being considered for him.Of the three feet that had a type–IV fracture, none had ananatomical reduction, two had a nearly anatomical reduction,one had an approximate reduction. Clinically, one result, were fair, and two were bad for which arthrodesis is being considered in one.
CONCLUSION In the present series, associated injuries were common, especially involving spine and lower limb. In our study,
it was possible to restore the Bohler’s angle post–operatively in most of the cases. The average pre–operative Bohler’s angle
was 9.6° and it was 26.6° post– operatively.
Keywords
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