Descriptive study of functional outcome and complication of fracture calcaneum treated with locking calcaneum plate
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20191791Keywords:
Locking calcaneum plate, Maryland foot score, Sander’s classification, Bohler’s angleAbstract
Background: Fracture of calcaneum accounts for about 2% of all fractures and 75% of all calcaneum fractures are intra-articular. Numerous controversies existed regarding optimal treatment of displaced intraarticular calcaneum fractures. In this study evaluate post-operative functional outcome and complication of fracture calcaneum treated with locking calcaneum plate.
Methods: This hospital based prospective descriptive study was conducted on 108 patients (120 calcaneum fracture) operated between July 2016 to December 2018 by open reduction and internal fixation with locking calcaneum plate through extensive lateral approach at Department of Orthopaedics, SMS Medical college and hospital, Jaipur. All close displaced intraarticular calcaneal fracture was included in the study.
Results: Average duration between injury and surgery was 8.3±2.97 days. Out of 120 calcaneum fracture 52 fractures (43.33%) were Sander’s type II, 52 fractures (43.33%) were Sander’s type III, and 16 fractures (13.33%) were Sander’s type IV. Pain on weight bearing was noted in 20 patients (16.66%) implant prominence was noted in 8 patients and delayed wound healing was seen in 4 patients. Maryland foot score was excellent in 44 fracture (36.67%), good in 56 fractures (46.67%), fair in 8 fractures (6.67%), and poor in 12 fractures (10%).
Conclusions: Open reduction and internal fixation (ORIF) with locking calcaneum plate in an indicated case, with respect to soft tissue envelope and early rehabilitation, leads to better therapeutic results as compared to other operative technique.
References
Keener BJ, Sizensky JA. The Anatomy Of The Calcaneus And Surrounding Structures. Foot Ankle Clin N Am. 2005;10:413-24.
Battaglia A, Catania P, Gumina S, Carbone S. Early Minimally Invasive Percutaneous Fixation Of Displaced Intra-Articular Calcaneal Fracture With A Percutaneous Angle Stable Device. J Foot Ankle Surg. 2015;54:51-56.
Pozo JL, Kirwan EO, Jackson AM. The long-term results of conservative management of severely displaced fractures of the calcaneus. J Bone Joint Surg [Br]. 1984;66:386–90.
Palmer l. The mechanism and treatment of fractures of the calcaneus. J Bone Joint Surg (Am). 1948;30:2-8.
Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intra-articular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res.1993;290:87-95.
Buckley R, Tough S, McCormack R. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: A prospective, randomized, controlled multicenter trial. The Journal of Bone and Joint Surgery. 2002;84(10): 1733–1744.
Buckley R, Tough S, Mccormack R, Pate G, Petrie D, Et Al. Operative Compared With Nonoperative Treatment Of Displaced Intra- Articular Calcaneal Fracture: A Prospective, Controlled Multicenter Trial. J Bone Joint Surg Am. 2002;84A(10):1733-44.
Kikuchi C, Charlton TP, Thordarson DB. Limited sinus tarsi approach for intra-articular calcaneus fractures. Foot Ankle Int. 2013;34(12):1689-94.
Weber M, Lehmann O, Sägesser D, Krause F. Limited open reduction and internal fixation of displaced intraarticular fractures of the calcaneum. J Bone Joint Surg Br. 2008;90(12):1608-16.
Chen K, Zhang H, Wang G, Cheng Y, Qian Z, Yang H. Comparison Of Nonlocking Plates And Locking Plates For Intraarticular Calcaneal Fracture. Foot Ankle Int. 2014;35(12):1298-302.
Rammelt S, Zwipp H. Calcaneus fractures. Trauma. 2006;8:197–212.
Hart AJ, Eastwood DM. Displaced intra-articular fractures of the calcaneus: what is new? Trauma. 2003;5:9–21.
Benirschke SK, Kramer PA. Wound healing complications in closed and open calcaneal fractures. J Orthop Trauma. 2004;18:1–6.
Gusic N, Fedel I, Darabos N, Loveric Z, Bukvic N, Bakota B, Lemac D. Operative Treatment Of Intraarticular Calcaneal Fractures: Anatomical And Functional Outcome Of Three Different Operative Techniques. Injury, Int J Care Injured. 2015;46S:S130-S133.
Gavlik JM, Rammelt S, Zwipp H. The use of subtalar arthroscopy in open reduction and internal fixation of intra-articular calcaneal fractures. Injury. 2002;33(1):63-71.
Buckley R. Letters to the Editor. J Orthop Trauma. 2002;16:210– 1.
Kumar S, Krishna LG, Singh D, Arora S. Evaluation Of Functional Outcome And Complications Of Locking Calcaneum Plate For Fracture Calcaneum. J Clin Orthop Trauma 2015;6:147–52.
Longino D, Buckley RE. Bone graft in the operative treatment of displaced intraarticular calcaneal fractures: is it helpful? J Orthop Trauma. 2001;15:280–6.
