Online ISSN: 2515-8260

FUNCTIONAL OUTCOME OF ESSEX-LOPRESTI CLASSIFCATION OF CALCANEAL FRACTURES TREATED WITH MINIMALLY INVASIVE PERCUTANEOUS OSTEOSYNTHESIS (MIPO) FIXATION

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Dr. Shirsha Ray, Dr. Mizanur Rahaman Sk,: Dr. Swaroop Solunke

Abstract

Introduction: Calcaneal fractures are 60% of all tarsal injuries and 2% of all fractures in adults. Although open reduction and internal fixation (ORIF) is the gold standard, it has been found to have soft-tissue problems that are proportionally related to the degree of surgical invasiveness. Because soft tissues are protected, minimally invasive percutaneous osteosynthesis (MIPO) procedures promise a lower risk of wound complications, a quicker recovery period, and faster healing. Materials and Methods: 15 subjects for the study were selected from the patients who attended Out Patient Department (OPD) and In Patient Department (IPD) of the Department of Orthopaedics, Dr. D Y. Patil Medical College, Hospital & Research Centre, Pune, India after fulfilling the inclusion and exclusion criteria, and after obtaining informed written consent. The cases admitted were examined according to protocol both clinically and radiologically. Essex-Lopresti fracture classification was used and all the cases were operated by the same orthopaedic surgeon by minimally invasive percutaneous osteosynthesis (MIPO) fixation using calcaneal plates and/or CC screws within 3 weeks of injury. The patients were followed up prospectively at 2 weeks, 8 weeks, 12 weeks and 6 months post operatively and assessed by AOFAS Ankle-Hindfoot Score. Results: On overall AOFAS score comparison, after 6 months of follow up, the AOFAS score was interpreted as ‘good’ in 73.3%, ‘fair’ in 26.7% and ‘poor’ in 0% of the total cases.

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