Outcomes of Operative Treatment of Displaced Intra-articular Calcaneal Fracture in Adult

Mohammed Abdullah  Abubaker; Sherwan Ahmed  Ali Hamawandi; Abdulkadr Muhammed Sleman  Alany

doi:10.56056/amj.2018.50

Authors

Mohammed Abdullah Abubaker MBChB/Candidate of KBMS.
Sherwan Ahmed Ali Hamawandi MBChB/ FIBMS (Ortho)/Assistant professor of Orthopedic Surgery/College of Medicine, Hawler Medical University/ Consultant orthopedic Surgeon.
Abdulkadr Muhammed Sleman Alany ChB/FIBMS (Ortho)/lecturer in College of Medicine, Hawler Medical University/Consultant orthopedic Surgeon.

DOI:

https://doi.org/10.56056/amj.2018.50

Keywords:

Intra articular;, Open reduction and internal fixation.

Abstract

Background and objectives: Management of calcaneal fractures is controversy. Many options of treatment have been described, but there is no agreement about absolute indications. A study of the functional outcome is carried out in surgically treated intra articular calcaneal fracture in this prospective study. We studied the functional outcomes and
postoperative complications including; infection, impingement, varus, Synovitis and flap necrosis in operative management of intra articular calcaneal fracture.

Methods: A total of 24 Patients with 26 calcaneal fractures operated over
a period of 24 months (first January 2016 to first December 2017), in the study. Pre-operative computed tomography scans done in all patients. Maryland foot score was used to assess the functional outcome.

Results: Twenty-four pa -tients (22 unilateral and 2 bilateral), the mean age is 35.41 years (range 18-60), consisting of 3(12.5%) female and 21(87.5%) male were included in this study. Most common mode of injury was fall from height in 23(95.8%) patients, while road traffic accident was in 1 (4.16%) patients. Results according to Maryland foot score were excellent in 25%, good in 62.5%, and 12.5% have fair outcome and none of them had poor results.

Conclusion: Open reduction and internal fixation with restoring the articular congruity with low profile locking plate is the ideal treatment for Sanders Type II, III and IV. Even Sanders Type IV had a good result in short-term follow-up. Use of proper surgical timing, technique
and asepsis can lead to excellent or good results in about (87.5%) of patients.

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