Minimally Invasive Percutaneous Screw Osteosynthesis (MIPSO) for Displaced Intra�articular Calcaneal Fractures

Dr. Yogesh Gaikwad; Dr. Devendra Vartak; Dr. Madhav Khadilkar; Dr. Swapnil Bhalgat; Dr. Gaurav Pawar; Dr. Tushar Deore

Volume : VI, Issue : VI, June - 2016

Minimally Invasive Percutaneous Screw Osteosynthesis (MIPSO) for Displaced Intra�articular Calcaneal Fractures

Dr. Yogesh Gaikwad, Dr. Devendra Vartak, Dr. Madhav Khadilkar, Dr. Swapnil Bhalgat, Dr. Gaurav Pawar, Dr. Tushar Deore

Abstract :

 Introduction: Minimally invasive treatment of calcaneal fractures intends to reduce soft tissue complications. We evaluated time to union, function and complications in intraarticular calcaneal fractures treated with percutaneous screw fixation. Methods: This is a retrospective review of 27 calcaneal fractures in 25 patients who were treated with Minimally Invasive Percutaneous Screw Osteosynthesis (MIPSO) from January 2012 to January 2014. All patients had a closed reduction under radiographic control followed by percutaneous screw fixation. Results: All of the 27 calcaneal fractures in 25 patients, all were available for follow up. We did not observe any wound complications or deep infections. There was one case with superficial wound infection that resolved with oral antibiotics. At the end of one year follow–up, the average AOFAS score was 96. One patient required screw removal after 5 months because of impingement. Conclusion: MIPSO is a reasonable alternative to displaced, intra–articular calcaneal fractures.