Clinical study of functional outcomes in calcaneal fractures who underwent surgical management in tertiary care hospital

Abstract

Background: Calcaneus is the largest of the tarsal bones of the foot and is the first tarsal
bone to ossify. No treatment, conservative treatment, open reduction and internal fixation,
primary subtalar arthrodesis, delayed primary arthrodesis and calcanectomy are treatment
options in the literature. Present study was aimed to study functional outcomes in calcaneum
fracture underwent surgical management at a tertiary hospital. Material and Methods:
Present study was single-center, prospective, observational study, conducted in patients from
age group of 16 to 60 years, all gender, with isolated calcaneum fracture, underwent surgical
management. Results: Total of 30 cases were enrolled, which underwent operative
management. Majority were males (86.67 %), from 0-30 years (46.67 %), mean age was
34.87 ± 12.0 years. Of all the fractures 53.3% were present on left side and 46.7% on right
side. Most of the patients had fall from height i.e.in 66.67 % of all the fractures. Majority
were of Sander’s type I (53.33 %), followed by type II (33.33 %) & type III (13.33 %). C N
Scores of pre treatment (83.3 ± 6.2), Sander’s type II (85 ± 5) & Sander’s type III (87 ± 5.7)
were measured. Mean C N Score was good in majority cases (66.67 %), followed by
excellent (20 %) & fair (13.33 %) outcome. Among the operative group CRIF with CC screw
were 33.3%, ORIF with reconstruction plate with CC screw were 40% and ORIF with
Calcaneum AC plate were 26.7%. In present study, mean union time was 17.9 ± 3.3 weeks
Conclusion: The goal of treating displaced and comminuted calcaneal fractures is to achieve
an anatomical reduction and restore Bohler's angle.