A study of ORIF with plate & screws and ESSEX LOPRESTI technique for intra–articular  fracture of calcaneus

Dr. Parag Tank; Dr. S. Prakash

Volume : V, Issue : VI, June - 2015

A study of ORIF with plate & screws and ESSEX LOPRESTI technique for intra–articular fracture of calcaneus

Dr. Parag Tank, Dr. S. Prakash

Abstract :

Background: To evaluate outcomes of ORIF and modified Essex Lopresti procedure for intra–articular fractures of calcaneus. Methods: It was a prospective study conducted in 23 feet of 19 patients. ORIF with reconstruction plate was done in 12 while modified Essex Lopresti close reduction was done in 11 feet. . All patients were followed up to 18 months. Outcome of procedure was evaluated with Creighton–Neaska score of Crosby and Fitzgibbons. Results: We found that mean correction of Bohler’s angle was almost equal in open reduction technique in both types of intra articular fractures while it was better in Essex Lopresti technique in tongue type fracture. Ankle range of motion was achieved in all cases between 40–70 degrees with good to excellent walking. Conclusion : The use of Essex Lopresti technique avoids the large incision and stripping required for formal ORIF thus decreasing amount of scar formation and possibly residual stiffness. This method proved effective in selected joint depression type intra–articular fractures.