Analysis of Functional and Radiological Outcome of Intra-Articular Calcaneal Fractures

Somumurthy, Nagarajan (2020) Analysis of Functional and Radiological Outcome of Intra-Articular Calcaneal Fractures. Masters thesis, Kilpauk Medical College, Chennai.


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INTRODUCTION: Calcaneal fractures accounting for 65% of tarsal injuries. Calcaneal fractures account approximately 2% of all fractures. Most (60%-75%) of them are intra articular. 10% have associated with spine fractures and 26% are associated with other extremity injury. Displaced intra-articular fractures of calcaneum typically the result of high energy trauma, such as fall from height or motor vehicle accident. so functional outcome of calcaneal fracture plays important socio economic role among the worker families. AIM OF THE STUDY: To analyse the functional and radiological outcome of displaced intraarticular calcaneal fractures treated by open reduction and internal fixation. MATERIALS AND METHODS: A prospective study done in Government Royapettah Hospital, Government Kilpauk Medical College, Chennai during the period of June 2017 to October 2019. 20 cases of displaced intra-articular calcaneal fractures were analysed and classified according to sander’s classifications. Fall from height was the major mode of injury. Average injury to surgery interval was 6 days. Average follow up period was 13 months. Functional outcome was analysed using AOFAS score (American Orthopedic Foot & Ankle Society). RESULTS: Clinical examination of surgical scar, ankle-hind foot alignment, walking surface and ability to squat were assessed at each follow up. Clinical & Radiological signs of union were also recorded. Functional outcome was analysed based on AOFAS score and the results were calculated at the end of our study period , based on the findings recorded at the final follow up of each patient. In our study, 15 patients had good outcome and 5 patients had fair outcome. CONCLUSION: With the short term follow-up of our study, we conclude that displaced intra-articular fractures needs to be treated by surgical methods to correct the Bohler’s angle. Among the methods closed reduction with Cancellous screw fixation had given better Functional outcome. Supplementation with Bone Graft helps in early mobilization. Earlier fixation gives better functional outcome.

Item Type: Thesis (Masters)
Additional Information: 221712155
Uncontrolled Keywords: Bohler’s angle, Angle of Gissane, AOFAS Score, Calcaneal Fracture, Bone Graft, ORIF with Po, Cancellous Screw.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 13 Feb 2021 15:45
Last Modified: 13 Feb 2021 15:45

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