ANATOMIC OPEN REDUCTION AND INTERNAL FIXATION (ORIF) OF DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES IN CORRELATION WITH FUNCTIONAL OUTCOMES
Keywords:
ORIF, calcaneus, outcomesAbstract
Contradictory evidence regarding treatment modalities in displaced intra-articular calcaneal fractures was explored in this paper. Conservative versus surgical treatment using open reduction and internal fixation (ORIF) is a widely debated topic in the world literature. In this paper functional outcomes of patients with displaced intra-articular calcaneal fractures treated with open reduction and internal fixation with anatomic locking plate were observed clinically and radiologically.
Fourteen patients diagnosed with intra-articular calcaneal fractures preoperatively evaluated by lateral and axial views roentgenography of the calcaneum and consequent computed tomography were surgically treated within two weeks after injury. Bohler’s angle was measured as well as calcaneal width and height. Patients were followed up clinically and radiologically for at least 12 months with functional outcome evaluation using the American Orthopaedic Foot and Ankle Society (AOFAS) scale.
The mean Bohler’s angle, calcaneal width and height were 25.47°, 4.32 cm and 3.81cm, respectively at final follow-up. At 1 year following ORIF, the mean AOFAS score was 82.5 ranging from 62 to 95 with 79% having excellent to good outcomes, 11.6% fair and 7.4% poor outcome. Postoperative complications were observed in three patients, one had incision site flap necrosis and two were treated for superficial wound infections.
Open reduction and internal fixation (ORIF) with locking calcaneal plate as a surgical treatment addressing displaced intra-articular calcaneal fractures appreciating well-established АО principles (Arbeitgemeineshaft fur Osteosynthesefragen) leads to satisfactory results appreciated by the patients treated.
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