Abstract
Materials & Methods: A retrospective study. 25 cases of fracture Calcaneum during April 2001–2004 were reviewed for their clinical outcome.
Aim of the study: To assess the clinical and functional outcome of the Management of Intra and Extra articular Calcaneal fractures in district general hospital.
Results: 22 male and 3 female. Intraarticular fractures 15 (60%)of which 10 were displaced and 5 undisplaced.
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Extraarticular were 10 (40%) of which displaced and undisplaced were 5 each. Fall from height was seen in 20 (80%)patients. Associated injuries was seen in 10(40%) patients of which 8(32%) of them had fracture spine. All the cases of intaarticular fractures had C.T. scan.
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5 cases had MUA and pinning for the extraarticular fracture.
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8(32%) displaced intraarticular fractures underwent ORIF.
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2((8%) intraarticular displaced fractures were treated conservatively.
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The average follow-up one-year.
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The final outcome assessed clinical and radiologically.
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2 cases of infection, 4 cases of stiffness, 2 cases of deformity seen.1 case had parasthesia.
The final outcome all the fractures treated conservatively were good. Fractures underwent ORIF had better outcome and more complication rate as compared to conservative treatment.
Conclusion: Commonest mode of injury is fall from height and associated injury incidence is usually high.
Even the undisplaced intraarticular fractures of calcaneum do develop residual stiffness and difficulty in walking on uneven ground.
Displaced fractures needs fixation for better results and facilitation for secondary operations.
Wound infection, stiffness and deformity are known complications.
In this small audit all three group did develop stiffness and we recommend a bigger, independent audit.
Correspondence should be addressed to Mr Bimal Singh, c/o BOSA at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE
