Ashish Singh*, Purushotam Kumar, Kartheek Telagareddy, Sushil Sing, Pankaj Kumar, Rabindra Narain Singh, Ashok Singh, Abhishek Kumar, Arjun Jayaraj, Rishabh Kumar Singh and Pravez Anwar
Department of Orthopedics, Anup Institute of Orthopedics and Rehabilitation, Kankarbagh, Patna, Bihar, India
*Corresponding Author: Ashish Singh, Department of Orthopedics, Anup Institute of Orthopedics and Rehabilitation, Kankarbagh, Patna, Bihar, India.
Received: May 02, 2022; Published: June 21, 2022
Aim: A comparative to study the functional outcome in Intra-articular Fractures of Calcaneum after Surgery and conservative management.
Materials and Methods: A prospective short-term study was conducted to compare Functional outcome in Intra -Articular Fractures of Calcaneum after Surgery and conservative management from December 2015 to December 2017.
All patients with intra-articular fractures of the Calcaneum that confirmed to the inclusion criteria were included in the study. Patients were investigated with plain radiography and CT scan. X-ray included Calcaneum lateral and axial views. Bohler’s angle was calculated and Geographic pattern of the fracture was studied and classified using Essex Lopresti classification.
All patients were treated initially using a posterior slab and limb elevation before definitive management. Following which patients were treated conservatively which included below knee cast application. The Operative Treatment protocol included either Essex Lopresti Maneuver or Open reduction and internal Fixation with a reconstruction plate, depending upon the surgeon. All surgeries which were done aimed to restore the Bohler’s angle and were done by single surgeon patients were given a below knee cast after subsidence of swelling and were mobilized non weight bearing with axillary crutches or a walker for a period of 6 weeks and gradual weight bearing mobilization was allowed until Union.
Bohler’s Angle was calculated post operatively and functional outcome was assessed at 12 weeks, 3 months, 6 months and 1year and 6 monthly respectively. The results were evaluated with the Ankle and Foot Society Scoring System and reviewed. SF 36 questionnaires were filled at the end of the study.
Observation and Results: A total of 26 patients were reviewed. According to the AOFAS scale, 63.6% all patients developed good and fair results. The SF 36 Score this present study suggested better quality of life in the operated group (p = 0.011) which was statistically significant at the end of two years.
Conclusion: All displaced intra- articular fractures of Calcaneum should be treated with anatomical reduction and restoration of the Bohler’s angle so to have a better and early functional outcome.
Keywords: Functional Outcome; Conservative; Operative; Intra-Articular Fractures; Calcaneum
Citation: Ashish Singh., et al. “A Comparison of Functional Outcome Following Conservative or Operative Treatment of Intra-Articular Fractures of Calcaneum".Acta Scientific Orthopaedics 5.7 (2022): 113-119.
Copyright: © 2022 Ashish Singh., 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.