FUNCTIONAL AND RADIOLOGICAL EVALUATION OF THE MANAGEMENT OF DISPLACED INTRAARTICULAR CALCANEAL FRACTURES

SHAGUN AGARWAL; AMANDEEP SINGH BAKSHI; KARAN GERA; HARRY MEHTA

doi:10.22159/ijcpr.2024v16i5.5030

Authors

SHAGUN AGARWAL Department of Orthopaedics, GMC Patiala, India
AMANDEEP SINGH BAKSHI Department of Orthopaedics, GMC Patiala, India
KARAN GERA Department of Orthopaedics, GMC Patiala, India
HARRY MEHTA Department of Orthopaedics, GMC Patiala, India

DOI:

https://doi.org/10.22159/ijcpr.2024v16i5.5030

Keywords:

Calcaneum fractures, ROWE’S score, Bohlers angle, Sanders classification, Range of motion

Abstract

Objective: Displaced intra-articular calcaneus fractures (DIACFs) represent a source of potential disability to the patient, an economic burden to society, and a treatment challenge to the average orthopedic surgeon. Despite a lack of evidence of whether operative management is superior to non-operative management, there is a trend favoring the former.

Methods: Based on clinical and radiological examination patients were admitted in the hospital from April 2021 to September 2022 and were divided into 2 groups A and B. Group A (33) patients were managed conservatively and Group B (33) patients were managed by operative procedure. Each patient was followed up at 3 mo, 9 mo, and 1 y from injury. Appropriate lateral and axial view x-rays done at 3 mo and 1 y follow-ups and a radiological assessment was done. The ROWES score was assessed and recorded at each of these follow-ups.

Results: The duration of stay, Bohlers angle, ROM at 3 mo, and ROWE’s score at 3 mo, 9 mo, and 12 mo show statistically significant differences among the groups with more duration of stay in the ORIF group, greater Bohlers angle in ORIF and more ROM at 3 mo, ROWE’s score at 3, 9 and 12 mo in ORIF as compared to the conservative group.

Conclusion: We came to the conclusion that displaced intra-articular calcaneum fractures can be treated better and more effectively with open reduction and internal fixation with a pre-contoured calcaneum locking plate as compared to conservative treatment.

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