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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 9, Issue 2, December 2013 pp 205-210
A Study to Evaluate the Functional Outcome Following Open Reduction and Internal Fixation in Displaced Intra Articular Calcaneal Fractures
Vivian R D' Almeida, Tils P. Mathew, K. Raghuveer Adiga, John E. Benny, Ashwin Kamath
Department of Orthopaedics, Fr. Muller Medical College, Mangalore, Karnataka, INDIA.
Academic Editor : Dr. Aher K.R.
Purpose: To compare the final functional outcome following open reduction and internal fixation of displaced intraarticular calcaneal fractures to that given in standard literature. Methods: All patients with displaced intraarticular calcaneal fractures reaching the casualty of Father Muller Medical College who underwent definitive surgery with open reduction internal fixation with Recon or Y plate. Total 44 calcaneum were included in the present study from 33 patients. Clinical and roentgenographic evaluation and Functional outcome with AOFAS Clinical Rating System for Ankle-Hindfoot Scale was done. Results: When we consider the clinical evaluation under the AOFAS criterion, our sample showed average value of 77.89 points .Patients demonstrated a diminished outcome with a lower Böhler's angle. When evaluated for different fracture type a progressive deterioration in results were noticed from type II through IV. A bad outcome occurred in no patient among type II injuries. Among type III fractures, three patients had a bad outcome(25%). Nine cases with type IV injury had bad outcome (60%), but there were no excellent results, five had fair results, one had good result. Conclusion: Upon evaluation of the cases during final follow up, excellent results were achieved in 31.8%, good results in 21.5%, fair result in 11.04% and poor result in 27.3% .Since we had only 27% of bad results in this study, open reduction and internal fixation can be recommended as very good alternative to conservative treatment in calcaneal fractures.