Abstract

Background: Aim & Objective: The purpose of the present study is to verify the
functional outcome of the internal fixation, in calcaneum fractures.
Materials and Methods: Our study included patients reporting to Osmania General
Hospital, Hyderabad from June 2017 to October 2019 treated by internal fixation using
various modalities and those who were available for follow up. All patients above
l8years of age with communitedcalcaneum fractures, Fresh fractures and Patients
should be walking prior to the fracture.
Results: Thirty patients with comminuted calcaneal fractures were operated from June
2017 till October 2019 Of the 30 patients 28 were male 2, were female with a mean age
of 37 years, 2 patients had bilateral fractures.18 had left sided fractures while 12 had
right sided fractures and mode of injury for the 23 patients was fall from a height and
RTA for 67patients.20 patients had SANDERS type 3 fracture and 10 patients had
SANDERS type 2 fractures. Days of hospital stay varied from 14 to 22 days {mean 16.04
days}. Post operatively 14 patients had swelling and 6 patients had persistent pain,2 had
superficial infection and one had deep infection. The infections have healed with
antibiotics and regular dressing. Of the 30 patients, 9 had excellent results, 15 had good
results, 4 had fair results, 2 had poor results. Hence we concluded from the above
findings the internal fixation helps in improving the functional outcome of the patients
in view of their physical and radiological findings.
Conclusion: The technique of plate fixation with a lateral approach is good with regards
to fracture union and functional outcome. It also shows that anotomical reduction in
terms of the correction in BOHLER'S and GISSANE'S angle plays an important role in
determining the good functional outcome.