Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum

Abstract

Locking calcaneal plate a b s t r a c t Background: Open reduction and internal fixation (ORIF) is the treatment of choice for displaced intra-articular calcaneal fracture at many orthopaedic trauma centres. In this prospective study, we evaluated the functional outcome and complications of locking compressive calcaneum plate for displaced intra-articular fracture calcaneum.Methods: Between October 2011 and March 2012, 30 patients with displaced intra-articular fracture calcaneum attending the outdoor and emergency of our institute were included in the study. All the included patients were operated using standard lateral approach and followed up to 1 year.Results: Of 30 patients, 14 (48%) patients were Sander's type II, 10 (33%) were type III, and 6 (20%) were type IV. All the patients were evaluated post-operatively. Articular surface of posterior facet of calcaneum and crucial angle of Gissane was maintained in all patients. Four patients had post-operative Boehler's angle <208 and 26 patients had between 218 and 408. All the patients having post-operative Boehler's angle <208 were type IV as compared to types II and III (statistically significant). Ninety-six percentage of patients having post-operative Boehler's angle 21-408 were more satisfied at 1 year as compared to 25% of patients having post-operative Boehler's angle <208 (statistically significant). Complications were present in 6 (20%) patients.Conclusion: ORIF with locking compressive plate in displaced intra-articular fracture calcaneum gives good outcome. Results are more favourable in less comminuted as compared to more comminuted. Maintenance of Boehler's angle is also necessary for satisfactory results along with maintenance of articular congruence of posterior facet of calcaneum and crucial angle of Gissane.

Risk factors for increased postoperative drainage of calcaneal fractures after open reduction and internal fixation

“…Calcaneal fractures are one of the most frequently encountered fractures of the hindfoot [ 1 , 2 ] and have been estimated to account for approximately 1% to 2% of all fractures. [ 3 ] High-energy trauma is the main cause and often results in displaced intra-articular calcaneal fractures.…”

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

“…This fact was also noted by other authors. 17 In this study found significant correlation between the type of fracture and post-operative Bohler's angle. Patient having post-operative Bohler's angle <20⁰ were more in sanders type IV as compared to type II and III (Table 4).…”

“…Patient having post-operative Bohler's angle <20⁰ were more in sanders type IV as compared to type II and III (Table 4). 17 A previous study by Longino et al reported no significant difference between post-operative radiological and clinical results of locking calcaneum plate osteosynthesis with and without bone grafting, thus bone grafting was omitted from our study. 18…”

Quality of Life and Clinical Evaluation of Calcaneoplasty with a Balloon System for Calcaneal Fracture at 5 Years of Follow-Up

“…Surgical treatment with open reduction and internal synthesis (ORIF) [6] is considered the standard treatment for CF, but it is associated with many complications, particularly in patients with systemic diseases, such as diabetes and peripheral vascular disease. erefore, several minimally invasive techniques have been proposed to avoid the frequent and recurrent postoperative problems related to these fractures, to ensure good reduction with fewer complications and to reduce preoperative and hospitalization times; these techniques include arthroscopically assisted reduction and fixation, external fixation, balloon calcaneoplasty [7,8].…”