Evaluation of the functional outcome of displaced intraarticular calcaneal fractures Management surgically with locking plate fixation

  • Siddiqui EH Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Musa SM Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Hossain MS Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Forhad S Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Miraj AKA Research Assistant, Department of Vascular Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Ullah SMA Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Keywords: Calcaneal fractures, intra-articular, high-energy fractures, soft tissue, operative techniques

Abstract

Introduction: Intra-articular fractures account for 70% of all calcaneal fractures. They are the most challenging and outcomes are unpredictable. There is no consensus between surgical and conservative treatment in terms of outcomes. Due to difficult terrain and frequent motor vehicle accidents in this area, the calcaneal fracture is the most common tarsal bone fracture managed at our center. We are managing these injuries by both operative and non-operative methods. To evaluate the functional and radiological outcome of intraarticular calcaneal fractures managed surgically with a plate in terms of bohler’s and gissane’s angle, rate of radiological union and AOFAS score.

Methods: The Prospective study was conducted for the period of two years and a total of 100 patients with intra-articular calcaneal fractures who met the inclusion criteria were admitted, underwent necessary examinations, and were assessed for surgical suitability. Swelling was reduced by using a below knee slab with cotton padding, elevating the leg, and using an ice pack. Pre-operative x-rays of the lateral and axial views of the calcaneum, together with a CT scan of the calcaneum, were taken for pre-operative planning. Bohler’s and Gissane’s angles were measured pre-operatively.

Results: Patients aged 18–60 with a mean age of 34.38 years were included in our research. The research included 88% male patients. This research found 64% right side engagement and 36% left side involvement. Falling from height caused the greatest injuries in the research group, followed by RTA. Our investigation found Sander's type II fractures most prevalent, followed by type IV. Type III was rarest. In all research participants, surgery was postponed until skin wrinkles appeared to prevent wound dehiscence and ensure proper wound closure. From injury until surgery, it took 4–14 days, averaging 7.8. Radiological union averaged 13.64 weeks in the research group. Difference between pre- and post-op mean Gissane's angle was significant (p< 0.01).

Conclusion: Proper pre-operative planning, scheduling of surgery, surgeon's skill during the operation, and post-operative care are crucial factors for achieving successful surgical treatment of intra-articular fractures with a locking plate, resulting in improved outcomes and fewer problems.

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How to Cite
Siddiqui, E. H., Musa, S. M., hossain, M. sazzad, Forhad, S., Miraj, A. K. A., & Ullah, S. M. A. (2025). Evaluation of the functional outcome of displaced intraarticular calcaneal fractures Management surgically with locking plate fixation. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 10(1). Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/279
Issue
Vol 10 No 1 (2024): Jan-Dec
Section
Original Article

Copyright (c) 2025 Author (s). Published by Siddharth Health Research and Social Welfare Society

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