Descriptive study of functional outcome and complication of fracture calcaneum treated with locking calcaneum plate

Authors

  • Amit Jain Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • R. C. Meena Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • Laxman Choudhary Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • Jitesh Jain Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • Abhishek Chandra Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • Anurag Sharma Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • Lokpal Singh Bhati Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20191791

Keywords:

Locking calcaneum plate, Maryland foot score, Sander’s classification, Bohler’s angle

Abstract

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.

Author Biographies

Amit Jain, Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India

ORTHOPAEDICS, ASSISTENT PROFESSOR

Laxman Choudhary, Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India

ORTHOPAEDICS, JUNIOR RESIDENT

Jitesh Jain, Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India

ORTHOPAEDICS , SENIOR RESIDENT

Abhishek Chandra, Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India

ORTHOPAEDICS , JUNIOR RESIDENT

Anurag Sharma, Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India

ORTHOPAEDICS, JUNIOR RESIDENT

Lokpal Singh Bhati, Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India

ORTHOPAEDICS, JUNIOR RESIDENT

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Published

2019-04-26

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Original Research Articles