Vol. 4, Issue 3 (2018)
Outcome after ORIF of intra articular calcaneal fractures without augmentation
Author(s): Dr. Pawan Kumar, Dr. Ravi Mehrotra, Dr. Pratik Patel, Dr. Meghal Shah, Dr. Deepinder Chaudhary
Abstract: Introduction: Calcaneum fracture is most common fracture in hind foot. In management of calcaneum fracture there is a lot of controversies either to use bone graft augmentation or not. But in this study we done Calcaneum plating without use of augmentation to reduce chance of infection, reduce graft site morbidity and reduce bleeding. In this prospective study we analyzed outcome of intra-articular calcaneum fracture treatment by open reduction internal fixation with calcaneum plate without any augmentation. Material and Method: We selected 26 patients with intra-articular calcaneal fractures on basis of strict inclusion and exclusion criteria’s from January 2016 to December 2016. All fractures were treated by calcaneum locking plate without any bone grafting, using the standard extended lateral approach. All patients were followed regularly at 2 weeks, 2 months, 3months, 6 months and 1year and outcome were evaluated by using American Orthopedic Foot and Ankle Society (AOFAS) Score. Results: All fractures were healed with 84.6% of excellent to good results according to American Orthopedic Foot and Ankle Society (AOFAS) Score, only 2 patients had poor results. Radiologically average preoperative Bohler’s angle was 6.8° and the average Bohler’s angle at follow-up was 31.4°. At final follow up mean Gissane angle was 123.20 degree. Three patients (11.54%) developed chronic ankle pain on walking. Two patients (7.7%) were developed subtalar joint incongruity, two patients (7.7%) developed wound dehiscence, peroneal tendons irritation in one Patient and one patient developed Calcaneum Osteomyelitis. Conclusion: Well Timed open reduction and internal fixation of intra articular calcaneum fracture with Locking Calcaneum Plate with respect of soft tissue envelope and early rehabilitation lead to therapeutic success. It does not required bone grafting or augmentation to early fracture healing.