Surgical Treatment of Patients With Fractures of the Calcaneus

Abstract

The article analyzes the results of treating 45 patients with fractures of the calcaneus. To study the effectiveness of the treatment of patients with fractures of the heel bone, all patients were divided into three clinical groups. The first group consisted of 12 (26,60 %) patients with extra-articular fractures of the calcaneus, which was carried out surgery using the screws and wire loop. The second group is represented by 19 (42,30 %) patients with intra-articular fractures of the calcaneus, who underwent closed reduction under image intensifier control and locking the spokes. The third group included 14 (31,10 %) patients with intra-articular fractures of the calcaneus, which held an open reduction and osteosynthesis with plates and screws. In 4 (28,6 %) patients in the postoperative period were observed skin necrosis, 3 (21,4 %) patients came deforming ar-throsis of the subtalar joint with severe pain and impaired gait and only 7 (50,0 %) patients with good results treatment – 79 points on the AOFAS scale. Thus, the analysis of the long-term results of surgical treatment of intra-articular fractures of the calcaneus has shown that the use of closed reduction under image intensifier control and locking the spokes leads to better treatment results and reducing the time of disability.