Functional and Radiological Analysis of Surgically Managed Displaced Intra-Articular Calcaneum Fracture

Abstract

One of the most common foot fractures is fracture of calcaneum. It is usually caused by high energy trauma, with 75% being intraarticular. Advances in imaging, implants, AO principles of internal xation and the routine use of intraoperative imaging have made internal xation a recommended procedure in recent past. The study included 38 patients of int Material and methods: ra-articular calcaneal fractures treated operatively with ORIF with PO using the modied Kocher's approach. The patients were assessed radiologically and for functional outcome as per AOFAS (American Orthopedic Foot and Ankle Score) score. 43 fract Results: ures in 38 patients were included in our study with mean age of 38.58 years. 56% had good and 44% had excellent results with nal AOFAS score. All radiological parameters like Böhlers angle, Gissane's angle and calcaneal width and height showed improvement following surgery, with later three having statistical signicance. There was no inuence of complications following surgery over nal AOFAS score. Surgical Conclusion: management of calcaneal fracture require thorough understanding of anatomy and various radiological parameters. Careful patient selection, preoperative planning, appropriate timing for surgery, proper approach and accurate anatomic reduction gives a good functional outcome. Sander's classication helps in surgical planning as well as prognostication.