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163609

Treatment of Calcaneal Fracture by Calcaneal Plate

Article

Last updated: 24 Dec 2024

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Subjects

-

Tags

Surgery

Abstract

Background: Calcaneal fractures are not uncommon, accounting for 2% and 60.0% of all adult and tarsal fractures, respectively. Its treatment is still controversial. 
Aim of the work: To assess results and complications of calcaneal fractures treatment by fixation with calcaneal plate on clinical and radiological basis.
Patients and Methods: A convenient sample of 20 patients, with calcaneal fractures and treated by calcaneal plate fixation were included. They were assessed in preoperative period in a systematic manner. Then, treated with a locking plate. Postoperatively, immediate X-rays, examination of the neurovascular status had been done. Anti-edematous, pain therapy, intravenous antibiotics and anticoagulation medication were administered.  All patients had been followed up at 8, 16 weeks after operation and assessed for functional and anatomical state.
RESULTS: According to the American Orthopedic Foot Ankle Society [AOFAS] Ankle-Hindfoot Score, the outcome was excellent [30.0%], good [40.0%], fair [20.0%] and poor [10.0%].   At the last follow‑up, Bohler's angle was restored to normal [20°-40°] in 17 feet [85 %] while 3 feet [15 %] was less than normal. Wound infection was seen in [10%], each of varus heel deformity and flexion deformity of big toe was found in one patient [5.0%] and two case had reflex sympathetic dystrophy.Finally, there was no association between fracture type and subtalar arthritis. However, patients with subtalar arthritis had significantly lower AOFAS score when compared to patients with no subtalar arthritis [76.22±6.24 vs 87.0±6.05 respectively, p < 0.001].
Conclusion: Displaced calcaneal fractures treated surgically are associated with a relatively better functional outcome, provided that, Bohler's angle was restored to its normal or near normal values.

DOI

10.21608/ijma.2021.45167.1187

Keywords

Calcaneal, Plate, fracture, Bohler’ s, intra-articular

Authors

First Name

Abed Anwar

Last Name

Abd Elfattah

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Beni Obaid Specialized Hospital, Ministry of Health, Egypt

Email

abedanwar60@gmail.com

City

-

Orcid

-

First Name

Salah Eldeen

Last Name

Yousef

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

-

City

-

Orcid

-

First Name

Samir

Last Name

Elshoura

MiddleName

Ahmed

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

samirahmed1920@yahoo.com

City

New Damietta

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2020-10-04

Publish Date

2021-04-01

Page Start

1,471

Page End

1,481

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1471-1481.pdf

PDF . 1.6MB

Link

https://ijma.journals.ekb.eg/article_163609.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=163609

Order

39

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Treatment of Calcaneal Fracture by Calcaneal Plate

Details

Type

Article

Created At

22 Jan 2023