Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Calcaneum fractures are the most common fractures of the tarsal bones, significantly impacting foot function due to the calcaneum's role in weight‐bearing and forming the base of the foot's longitudinal arch. The bone's limited soft tissue coverage and thin overlying skin complicate surgical treatment. Surgical treatment of calcaneum fractures poses significant challenges, particularly in Indian patients, due to cultural habits like walking barefoot, squatting, kneeling and sitting cross‐legged, which can decrease vascularity, impair skin condition and complicate postoperative management. This study aims to conduct a critical analysis of the outcomes of open reduction and internal fixation for calcaneal fractures using a lateral approach in patients. Seligson described an incision technique aimed at fully exposing the lateral face of the calcaneus to the calcaneocuboid joint. This approach combined a posterior ankle incision with a unique plantar limb that allowed for tension‐free closure. The study involved 20 patients, including two with bilateral calcaneal fractures, with a mean follow‐up of 6 months. Most patients were in their 30s, with fractures commonly resulting from falls. All fractures were treated with open reduction and internal fixation and accurate fracture pattern evaluation was emphasized. Early surgical intervention, meticulous technique and low‐profile plates led to excellent outcomes, with 65% of patients achieving excellent results and minimal heel pad pain. The study concluded that aggressive surgical management, when combined with thorough preoperative planning and meticulous technique, can yield excellent outcomes despite the complexities and potential complications associated with calcaneal fractures.
How to cite this article:
Pulkit Maniar, Niravkumar Moradiya and Abhishek Agarwal. Study of Outcomes of Calcaneal Fractures Treated with Plating.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.663.666
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.663.666