Outcome of fracture calcaneum managed by conservative versus operative methods a randomized comparative study

Abstract

Background: Calcaneal fracture is a complex injury that represents 1%–2% of all fractures. However, they make up 60% fractures of the midfoot bones. Due to challenging management of calcaneal fractures, we decided to evaluate the long term outcome of the same. Method: In this series of 61 calcaneal fractures 11 fractures were treated by open reduction and internal fixation method, 16 fractures by percutaneous reduction technique and 34 were treated conservatively, Creighton-Nebraska scoringhas been chosen, being based on results rather than radiographic criteria. Our average duration of follow is 18 months.Results: In this study total 61 feets of 50 patients. Com90. 9%) had excellent results with 1 fair result in open reduction group with internal fixation group. 5 excellent (31. 2%) with 10 good (62. 5%) and 1 fair (6. 3%) result were obtained in percutaneous reduction group. No patient from operative group and percutaneous reduction group showed poor result. There were Only 3 excellent (8. 8%) results with 10 good (29. 5%), 13 fair (38. 3%), and 8 poor (23. 5%) results in conservative group of patients plication included infection, plantar fascitis, subtalar arthritis.Conclusion: our conclusion is that intra articular fractures of calcaneum should be approached in more practical and scientific manner so that normal anatomy of the subtalar joint and overall shape of the calcaneum can be restored with early range of motion.