Assessment of efficiency of open reduction and percutaneous fixation in treating options for calcaneal fractures

Abstract

Introduction: Calcaneal fractures are most commonest of all tarsal bone fractures, accounting for 2% of all fractures, with displaced intra-articular fractures accounting for 60% to 75% of the cases. After eccentric axial loading of the talus on the calcaneus, intra-articular fractures occur. Displaced intra-articular calcaneal fractures (DIACFs) are difficult to treat and contentious. The treatment of choice for calcaneal fractures is yet unknown. These days those fractures are treating surgically, here The goal of this research was to examine the functional outcomes of calcaneal fractures treated with open reduction versus percutaneous fixation. Aim and Objectives: To compare the functional and radiological outcome of calcaneal fractures treated with open reduction and percutaneous fixation. To analyse and compare the restoration of Bohler’s, Gissane angles, calcaneal height, articular reconstruction and post operative complication. Materials and Methods: This is retrospective and prospective study included patients age between 18-60 years. A sample of 20 patients with Intraarticular displaced, comminuted calcaneal fractures were selected, evaluated and operated in Rajah Muthiah Medical College and Hospital, Chidambaram between July 2019 to October 2021. All of the patients had surgery, which was completed with the use of anatomical plates, k wires, or CC screws. Conclusion: In post op percutaneous fixations are having serious complication rates like subtalar arthritis, chronic heal pain and joint stiffness are still existing when comparable to plating, hence open reduction and internal fixation with anatomical locking plate in appropriate timing should be considered an favourable treatment option for displaced intra-articular fractures when compared to percutaneous fixations.