Mid-term results of Calcaneal Plating for Displaced Intraarticular Calcaneus Fractures

Abstract

The radiological and functional results of surgical treatment in intraarticular calcaneal fractures are presented in this study. 27 feet of 26 patients with displaced intraarticular fractures were treated surgically in our clinic between November 2003 and May 2009. Twenty-one patients were male (81%), and 5 were female (19%). The average age was 29.2 (range, 18-61 years) at the time of the surgical treatment. Open reduction internal fixation was performed by using a calcaneal plate. The results were evaluated according to the Maryland foot scores and Creighton-Nebraska scores. The mean follow-up period was 34.4 months (range, 19-85 months). The radiological evaluation was made according to the mean value changes of Böhler and Gissane angles after injury and at the last follow-up. Except for 3 patients with Sanders type 4 fractures, good results were obtained with surgical treatment. We conclude that open reduction and internal fixation methods yield a reasonable outcome, even in patients with Sanders type 4 intraarticular fractures of the calcaneus.