Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Calcaneal fractures are the most frequent tarsal fractures. Indications of calcaneal extra articular fracture fixation are displaced tongue type fracture, fractures with mild shortening, large extra‐articular fractures (>1 cm), early reduction prevents skin sloughing and need for subsequent flap coverage. To compare the outcomes of fracture union in extra‐articular fractures of calcaneum managed through conventional pop application vs fixation through percutaneous cannulated cancellous screws. A comparative study was conducted on 40 patients with closed displaced extra‐articular calcaneal fractures, aged between 18 and 65 years. The study included patients treated in the Department of Orthopaedics in our institution. Patients with un‐displaced fractures, extra‐articular fractures, comorbidity like diabetes, associated spine fractures with neurological injury, open fractures were excluded from the study. Pre and postoperative Bohler’s angle were calculated. Non‐operative treatment was done with below‐knee cast. Operative treatment was done with percutaneous reduction and fixation with Cannulated Cancellous screws. After six weeks, the cast was removed follow‐up x‐rays were done patient mobilised. Out of the 40 patients considered in the study, 20 patients were managed conservatively with below knee pop cast and 20 patients were managed operatively with cannulated cancellous screws. Most of the calcaneal fractures were caused by fall from height (35), 3 cases were due to slip and fall from stairs, 1 due to falling of a heavy object over the foot and 1 road traffic accident. Out of 20 operated cases, Bohler’s angle was restored in 17 cases and showed excellent results at one year. 2 cases showed good results, one showed fair results. 5 cases treated non‐operatively showed good results, while 15 showed fair results. When compared at one‐year, operated cases showed better functional outcomes with CN score. Operative treatment of displaced extra‐articular calcaneal fractures showed good results at one year when Bohlers angle was restored to normal range. Non‐operative treatment gave fair results. Complications were seen both with operative and non‐operative treatment.
How to cite this article:
K.C. Paramesha, M. Mahendrakumar and Prajwal P. Huddar. A Comparative Study of Operative and Conservative Treatment of Extra Articular Displaced Calcaneal Fractures.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.1.324.328
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.1.324.328