Neetin P Mahajan¹, Lalkar Laxman Gadod²*, Mrugank Narvekar¹, Ishan Gajbe³, Swapnil Bhalerao³ and Kartik Pande¹

¹Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India
²Department of Orthopaedics, Columbia Asia Hospital, Pune, Maharashtra, India
³Department of Orthopaedics, Kamala Nehru Hospital, Pune, Maharashtra, India

*Corresponding Author:Lalkar Laxman Gadod, Department of Orthopaedics, Columbia Asia Hospital, Pune, Maharashtra, India.

Received: June 04, 2021; Published: July 07, 2021

Abstract

Background: Calcaneal fractures are one of the most difficult fractures to be treated by the orthopedic surgeons. Calcaneal fractures (CFs) account for more than 60% of tarsal bone fractures and around 2% of all fractures. This can be a debilitating fracture and is most common in those who are economically active.

Methods: Twenty-four patients with a history of fall from height, and having closed intra-articular joint depression type of calcaneum fractures, included in the study, after obtaining proper valid written informed consent. CT scan of the calcaneum was also done in all patients to further delineate the type and pattern of fractures, and fracture was classified by the Sanders classification system. Functional outcome was measured with the American Orthopaedic Foot and Ankle Society (AOFAS) score 10 and the Maryland Foot Score which includes pain, function and alignment. Radiological outcome was assessed by the angle of Bohler and assessing union of fracture.

Results: The mean AOFAS score at 9 months was 78.87 ± 9.86. According to the AOFAS score, at 9 months, 16 (66.67%) patients had good outcome, 5 (20.83%) patients had fair outcome and 3 (12.5%) patients had poor outcome.

Conclusion: ORIF of closed type II, III and IV sanders calcaneal fractures have superior radiographic and functional outcomes ORIF has to be undertaken only when swelling and fracture blisters are completely resolved. ORIF with bone graft insertion of displaced intra-articular calcaneum fractures is an effective method for treatment as it enables anatomical reduction of fracture and articular surface, restoration of Bohler's angle, and early union by the bone graft. we think that this procedure should be avoided except in the case of severe soft tissue damage or open fractures.

Keywords: Calcaneum; Fracture; Intra-Articular; Locking Plate; Pre-Contoured

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Citation

Citation: Márcio Luís Duarte., et al. “Subcutaneous Calcaneal Bursitis - A Commonly Forgotten Differential Diagnosis". Acta Scientific Orthopaedics 4.8 (2021): 02-08.

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Copyright: © 2021 Márcio Luís Duarte., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.