Short term outcome of open reduction and internal fixation with plating in displaced intra articular calcaneal fractures

Background: Calcaneum fractures constitute the majority of the tarsal bone fractures worldwide. There is no gold standard consensus as of now for the management of the displaced intra articular calcaneal fractures. Open reduction and internal fixation with plating is one of the management options available.Methods: Authors studied the results of open reduction and internal fixation with plating in 22 calcaneal fractures in a study with a minimum follow up of 6 months. Outcome was studied using Maryland foot score.Results: Authors observed excellent results in 5 patients (22.72%), good results in 12 patients (54.54%), fair results in 4 patients (18.18%) and poor result in 1 patient (04.54%). Authors encountered wound infection in 1 patient (4.54%), heel varus in 1 patient (4.54%), heel broadening in 1 patient (4.54%), reduced range of motion at ankle in 2 patients (9.9%) and persistent heel pain in 1 patient (4.54%).Conclusions: Open Reduction and Internal Fixation (ORIF) with calcaneum plating, through an extensive lateral approach, for displaced intra articular fractures of the calcaneum is an effective treatment modality with very good results in experienced hands.

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The Long-Term Outcome of Open Reduction and Internal Fixation of Stable Displaced Isolated Partial Articular Fractures of the Radial Head

Journal of Trauma and Acute Care Surgery ◽

10.1097/ta.0b013e31818234d6 ◽

2009 ◽

Vol 67 (1) ◽

pp. 143-146 ◽

Cited By ~ 41

Author(s):

Anneluuk L. C. Lindenhovius ◽

Quinten Felsch ◽

David Ring ◽

Peter Kloen

Keyword(s):

Internal Fixation ◽

Radial Head ◽

Open Reduction ◽

Term Outcome ◽

Long Term Outcome ◽

Articular Fractures

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Displaced Fractures of the Os Calcis Involving the Subtalar Joint: The Key Role of the Superomedial Fragment

Foot & Ankle ◽

10.1177/107110078300400210 ◽

1983 ◽

Vol 4 (2) ◽

pp. 91-101 ◽

Cited By ~ 39

Author(s):

John R. Stephenson

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Subtalar Joint ◽

Postoperative Management ◽

Lateral Approach ◽

Normal Anatomy ◽

Os Calcis ◽

Articular Fractures

Fourteen displaced intra-articular fractures of the os calcis are reviewed following open reduction and internal fixation using a lateral approach with an average follow-up of 22 months (range, 12 to 44 months). Postoperative management consisted of early subtalar motion with delayed weightbearing. Twelve of 14 fractures were considered good results on the basis of no pain, 50% normal subtalar motion, and near-normal anatomy. Pain correlated with incomplete reduction of the superomedial fragment and, thus, incongruent reduction of the posterior facet in two cases. The importance of effecting a reduction of the superomedial border of the os calcis is emphasized.

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Functional outcome of operatively treated displaced intra-articular calcaneal fractures using two parallel contoured reconstruction plates

Kathmandu University Medical Journal ◽

10.3126/kumj.v8i1.3215 ◽

1970 ◽

Vol 8 (1) ◽

pp. 12-17

Author(s):

S Lakhey ◽

RR Manandhar ◽

RL Pradhan ◽

BK Pandey ◽

S Sharma ◽

...

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Scoring System ◽

Surgical Techniques ◽

Calcaneal Fracture ◽

Lateral Approach ◽

Complication Rates ◽

Calcaneal Fractures ◽

Articular Fractures ◽

Intraarticular Fractures

Introduction: The treatment of displaced intra-articular calcaneal fracture is controversial. Conventionally, they were treated non-operatively. However, some surgeons are now operatively treating these fractures because of continuing dissatisfaction with the outcome of conservative treatment of these fractures and improvements that have occurred in surgical techniques and complication rates. Objective: The aim of this study was to determine the functional outcome of operatively treated displaced intra-articular calcaneal fractures using two parallel contoured reconstruction plates. Materials and methods: 12 patients with 14 displaced intra-articular calcaneal fractures involving the subtalar joint were included in the study conducted between July 2005 and December 2008. The fracture site was exposed using extended lateral approach. Internal fixation was done by two nearly parallel 3.5mm reconstruction plates and screws contoured to form a gentle curve in all cases with the first plate fixed just below the articular surface. At the end of follow up, the patients' foot function was assessed by Calcaneal Fracture Scoring System of Kerr et al. Patients were also enquired about their satisfaction with their treatment outcome. Results: The patients were followed up for duration of 12 to 24 months (mean 15.64 months). The outcome score as measured by Calcaneal Fracture Scoring System ranged from 48 to 94 (mean 83.64). 11 of 12 patients (91.6 %) were satisfied with the treatment. Conclusion: Displaced intra-articular fractures treated by open reduction and internal fixation, using two nearly parallel, contoured reconstruction plates through an extensile lateral approach and following the principles of treatment of intraarticular fractures, have good functional results with high patient satisfaction rate. Key words: displaced intra-articular calcaneal fractures; operative treatment. DOI: 10.3126/kumj.v8i1.3215 Kathmandu University Medical Journal (2010), Vol. 8, No. 1, Issue 29, 12-17

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Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach

International Orthopaedics ◽

10.1007/s00264-013-2181-1 ◽

2013 ◽

Vol 38 (4) ◽

pp. 767-773 ◽

Cited By ~ 42

Author(s):

Manouk Backes ◽

Tim Schepers ◽

M. Suzan H. Beerekamp ◽

Jan S. K. Luitse ◽

J. Carel Goslings ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Lateral Approach ◽

Wound Infections ◽

Calcaneal Fractures ◽

Extended Lateral Approach

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Fractures of the Calcaneus Part II: Treatment

Foot & Ankle International ◽

10.1177/107110079601700612 ◽

1996 ◽

Vol 17 (6) ◽

pp. 360-366 ◽

Cited By ~ 33

Author(s):

Robert B.W. Lowery ◽

Jason H. Calhoun

Keyword(s):

Internal Fixation ◽

Classification System ◽

Open Reduction ◽

Subtalar Joint ◽

Calcaneal Fractures ◽

Articular Fracture ◽

Articular Fractures ◽

Anatomic Reduction ◽

Fracture Management

Extra-articular fracture management of the calcaneus is well accepted. Despite advancements, there is still no consensus on the treatment of intra-articular calcaneal fractures. Although the results of open reduction and internal fixation appear promising, evaluation is difficult because there is no universally accepted classification system. We believe that a consensus is developing for the evaluation, staging, and treatment of the acute calcaneus fracture and its chronic problems. Advancements in the understanding of the anatomy, injury mechanism, and classification of calcaneal fractures were presented in Parti ( Foot & Ankle International, 17(4):230–235, 1996). Treatment of displaced intra-articular fractures gives superior results when anatomic reduction of the subtalar joint is achieved.

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