Clinical Outcome of Reconstruction Surgery for Malunited Calcaneal Fracture without Subtalar Arthodesis – A Prospective Study

International Journal of Medical Science

© 2016 by SSRG - IJMS Journal

Volume 3 Issue 11

Year of Publication : 2016

Authors : Goutam kumar satpathy, Dillip kumar Chand and Sunil kumar Kar

10.14445/23939117/IJMS-V3I11P103

How to Cite?

Goutam kumar satpathy, Dillip kumar Chand and Sunil kumar Kar, "Clinical Outcome of Reconstruction Surgery for Malunited Calcaneal Fracture without Subtalar Arthodesis – A Prospective Study," SSRG International Journal of Medical Science, vol. 3,  no. 11, pp. 15-19, 2016. Crossref, https://doi.org/10.14445/23939117/IJMS-V3I11P103

Abstract:

Calcaneal fracture is the most common fracture in the tarsal bones. Treatment is difficult because the patterns of fracture are various and complications occur frequently. The purpose of this study was to evaluate the clinical results of calcaneal reconstruction for chronic complications after calcaneal fracture.21 patients with malunited calcaneal fractures treated in our hospital from 2014 to 2016 with reconstruction surgery without subtalal arthodesis. The functional outcome was asessd by AOFAS(American association of orthopaedics foot and ankle society) hind foot and ankle score.Out of 21 patients 19 were male and 2 female with an average age 32.7 yr. Average time period from injury to reconstructive operation was 11.2 month. Time of union ranging from 10.8 to12.7 month (average 11.33).Pre operative AOFAS score 43.5and postoperative score was 79.7. Bohler angle, Gissanes angle, Talo calcaneal angle and calcaneal width were checked pre and postoperatively shows a very good result. The management of calcaneal fractures will continue to pose significant challenges to the orthopaedic surgeon due to complexities of fracture patterns and the existing limitation of soft tissue envelope. Reconstruction of calcaneum by ORIF(open reduction and internal fixation) without subtalar arthodesis shows good results in terms of clinical and functional outcome of the patients in a intermediate term follow up.

Keywords:

 Calcaneum, AOFAS SCORE, Bohler angle, Gissane angle, ORIF.

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