Abstract
Aim: This prospective comparative study was done to evaluate effect of autologous bone grafting in outcomes and complications of displaced intra-articular calcaneal fractures. Material and Methods: Seventy-two patients with displaced intra-articular calcaneal fractures were treated with open reduction and internal fixation with plate. Osteosynthesis of 36 patients were supplemented with bone graft and other 36 patients did not receive bone graft. All patients were followed for 2 years and clinico-radiological assessment was done using the Maryland foot score and plain radiography as-well-as CT scan. Bohler’s angle, the crucial angle of Gissane, calcaneal height and width in the preoperative, immediate postoperative period and at the 2-year follow-up were compared. Results: There was no significant difference found in terms of clinical results as assessed by Maryland foot score between both the groups (p>0.05). No significant difference was found between both the groups in terms of loss of Bohler’s angle, the average change in the crucial angle, calcaneal height and width (p>0.05). No significant difference was found between the groups regarding complications like infection rate, skin necrosis, wound dehiscence, postoperative osteoarthritis and subtalar fusion (p>0.05). Conclusion: There was no significant difference between both the groups regarding functional outcomes and complications .
Highlights
The calcaneus is the most frequently fractured of the tarsal bones, and represents 1% to 2% of all fractures[1,2]
Lenormant first described the use of bone graft to fill the space created after open reduction of calcaneal fracture in 1928
Cancellous core of calcaneus, the thalamus[9], is usually compressed during calcaneal fracture. It has been a common practice during open reduction and internal fixation for fracture of the calcaneus to supplement the fixation with bone graft, most commonly using an autograft from the iliac crest[10,11,12]
Summary
The calcaneus is the most frequently fractured of the tarsal bones, and represents 1% to 2% of all fractures[1,2]. Intra-articular fractures are more common, representing 6075% of all calcaneal fractures, with a wide spectrum of fragment patterns[2,3]. Lenormant first described the use of bone graft to fill the space created after open reduction of calcaneal fracture in 1928. Cancellous core of calcaneus, the thalamus[9], is usually compressed during calcaneal fracture. It has been a common practice during open reduction and internal fixation for fracture of the calcaneus to supplement the fixation with bone graft, most commonly using an autograft from the iliac crest[10,11,12]. Morbidity at the donor site from iliac crest autograft is well known and the benefits of using a bone graft
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
