Comparative study of displaced calcaneum fracture treated with conservative or operative modalities

Dr. Rasik B. Dabhi; Dr. Vipul R. Makwana; Dr. Dixit N. Savajiyani

Volume : VII, Issue : II, February - 2018

Comparative study of displaced calcaneum fracture treated with conservative or operative modalities

Dr. Rasik B. Dabhi, Dr. Vipul R. Makwana, Dr. Dixit N. Savajiyani

Abstract :

Introduction and Background:

Calcaneum is the largest tarsal bone and more likely to get fractured. 60 % of tarsal bone fracture belong to calcaneum among them most are intra articular and displaced. Before recent advance it was treated conservative but now trend has changed to operative management.

Material and Methods

A prospective type of study conducted from December 2015 to November 2016. Sample size consist of 50 patients they were treated either conservative or operatively. Patients followed up at 1 month and 3 months and 6 months. Results were assessed using American Orthopaedics Foot and Ankle Hind Score and Visual Analogue Score at each follow–up.

Results: In this study mean age of patient was 35.68 years. Among them 39 were male and 11 were female. Most common mode of injury is fall down from height i.e.70% of total. 34(68%) patients were having Joint depression type while 16(32%) patients were having tongue type fractures according to Essex Lopresti classification system. Among 50 patients 20 were managed conservative while 30 were operated. Mean VAS at 6 months in conservative treated group was 5 while in operative treated group it was 3.56. According to AOFAS In patients treated conservative patients 18 fair, and 2 poor results were obtained. According to AOFAS In operative treated patients 3 excellent, 19 good & 8 fair results were obtained. In 6 cases there was malunion, in 1 case blisters were developed and in 2 case there was pin site infection.