Abstract
I n t roduction: Treatment of calcaneal fracture is still controversial and indication for surgery is not well established. We are reporting the mid term outcome of calcanel fractures treated conservatively. Material and Methods: Patients admitted with calcaneal fractures from 1st November 2002 till 31st December 2004 and were treated conservatively were included in this study. The fractures were grouped according to Essex-Lopresti classification and their outcomes were assessed with the Maryland foot score. We also looked at time to weight bearing and returning to occupational activity. Results: Forty-four patients were included for evaluation. Patients with extraarticular calcaneal fractures had significantly higher rating scores compared to those with intraarticular fractures (98.2 and 88.8 respectively, with a p value = 0.0001). Generally, both group of patients had a good clinical outcome. 18 of the 44 patients (41%) started partial weight bearing before or at 6 weeks and 31 patients (72%) were able to start full weight bearing by 12 weeks. 31 patients (72%) were back to work 12 weeks after the injury. Conclusion: Conservative management for calcaneal fractures is an acceptable mode of treatment with satisfactory functional outcome.
Highlights
Treatment of calcaneal fracture is still controversial and indication for surgery is not well established
Conservative management for calcaneal fractures is an acceptable mode of treatment with satisfactory functional outcome
We retrospectively reviewed all patients admitted to our centre with calcaneal fractures who were treated conservatively from 1st November 2002 to 31st December 2004
Summary
Treatment of calcaneal fracture is still controversial and indication for surgery is not well established. We are reporting the mid term outcome of calcanel fractures treated conservatively. The calcaneus (os calcis) is the commonest tarsal bone to sustain fracture. It accounts for 2% of all fractures. Despite the advances in imaging and surgical techniques, management of this fracture is still a challenging task and the outcome of operative treatment remains uncertain 1. The aim of this study is to evaluate the clinical outcome of both extraarticular and intraarticular calcaneal fractures that have been treated conservatively.
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