Functional outcome of percutaneous screw fixation of intra-articular calcaneum fractures

Authors

  • Mahaveer Meena Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India
  • Saksham Sharma Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India
  • Purushottam Jhanwar Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India
  • Shiv Bhagwan Sharma Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20184236

Keywords:

Intraarticular fractures, Percutaneous screw fixation

Abstract

Background: The treatment of displaced calcaneum fractures has been a subject of intense discussion. Displaced intra-articular calcaneum fractures gives poor result with conservative treatment and requires reduction and internal fixation for favourable long term results. Open procedures are more prone to complications regarding wound healing. Percutaneous fixation offers a middle pathway in treating simpler variety of displaced calcaneal fractures. The aim of the study was to access the functional outcome of intra articular fracture calcaneum managed with closed reduction by Essex-Lopresti technique and percutaneous screw fixation.

Methods: This study was done in department of Orthopaedics Jhalawar medical college and SRG Hospital Jhalawar, Rajasthan from January 2015 to January 2018. 26 intra-articular calcaneal fractures treated with closed reduction and percutaneous screw fixation under image intensifier.

Results: 25 cases evaluated (one patient had lost follow-up), all fractures were united, average time of union was 8 weeks. The mean AOFAS score was 80 (range from 45 to 96), 9 patients had excellent, 12 patients had good, 3 patients had fair and one patient had poor result for that subtalar arthrodesis was done after one year of follow-up. Average Bohler’s angle 24.5 and Gissane angle was 120 degree. No clinically significant varus or valgus in any case (less then 5 degree).

Conclusions: Treatment of intra-articular fractures of calcaneum is challenging but close reduction and internal fixation with 6.5 cannulated cancellous screws yields favorable outcome in majority of cases.

Author Biographies

Mahaveer Meena, Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India

Assistant Professor , Department of Orthopaedics , SRG Hospital and Medical College , Jhalawar ( Rajasthan ) , India

Saksham Sharma, Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India

P.G. Resident , Department of Orthopaedics , SRG Hospital and Medical College , Jhalawar ( Rajasthan ) , India

Purushottam Jhanwar, Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India

Professor , Department of Orthopaedics , SRG Hospital and Medical College , Jhalawar ( Rajasthan ) , India

Shiv Bhagwan Sharma, Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar, Rajasthan, India

Professor and head , Department of Orthopaedics , SRG Hospital and Medical College , Jhalawar ( Rajasthan ) , India

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Published

2018-10-24

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Original Research Articles