Abstract

The calcaneum is the greatest bone of the foot and is the major weight-bearing structure of the foot and the most common tarsal bone to fracture. Many treatment techniques are described in the literature but indications for specic techniques are undened. This study analyzes the outcome of the treatment of intra-articular tonguetype calcaneum fractures treated by Essex-leproesti technique. Methods- This prospective observational study aimed to evaluate the functional outcome of tongue-type intra-articular fracture by closed reduction with a percutaneous Steinmann pin. 16 patients with intra-articular tongue-type fracture were treated in Indra Gandhi government medical college and hospital, Nagpur from December 2020 to December 2022 with a minimum follow-up of 6 months. the functional outcome was assessed by the AOFAS Score. Most common cause for injury is fall from height. All patients were managed surgically and out of 16 patients, 4 cases(25%) had excellent, 9 cases (56%) had good and 5 cases (19%) had fair results. None of the patients in this series had poor results. As per our experience, the time for surgery is short and it can easily be performed even in the presence of swelling in the period immediately after injury also the risk of infection is very low.

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