Plating for intra-articular calcaneal fractures…. Is it an overkill?

Kulkarni, Himanshu G; Mane, Vilas S.; Gaonkar, Kiran; Patil, Pravin P.; Shaha, Mandar S.; Patel, Nirav; Desai, Nagesh R.

doi:10.1016/j.jcot.2015.03.011

Cited by 7 publications

(11 citation statements)

References 16 publications

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“…This reflected the good functional outcome with the restoration of Bohler's angle [16][17][18] . Kulkarni et al [19] study, reported that the mean Bohler's angle was changed from 11° preoperatively to 23.66° postoperatively with significant difference [p<0.05]. In the current study, Bohler's angle was restored to normal [20°-40°] in 17 feet [85 %] while 3 feet [15 %] was less than normal.…”

Section: Discussionsupporting

confidence: 48%

Treatment of Calcaneal Fracture by Calcaneal Plate

Elfattah¹,

Yousef

El-Shoura

2021

International Journal of Medical Arts

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Background: Calcaneal fractures are not uncommon, accounting for 2% and 60.0% of all adult and tarsal fractures, respectively. Its treatment is still controversial. Aim of the work:To assess results and complications of calcaneal fractures treatment by fixation with calcaneal plate on clinical and radiological basis. Patients and Methods:A convenient sample of 20 patients, with calcaneal fractures and treated by calcaneal plate fixation were included. They were assessed in preoperative period in a systematic manner. Then, treated with a locking plate.Postoperatively, immediate X-rays, examination of the neurovascular status had been done. Anti-edematous, pain therapy, intravenous antibiotics and anticoagulation medication were administered. All patients had been followed up at 8, 16 weeks after operation and assessed for functional and anatomical state. RESULTS:According to the American Orthopedic Foot Ankle Society [AOFAS] Ankle-Hindfoot Score, the outcome was excellent [30.0%], good [40.0%], fair [20.0%] and poor [10.0%]. At the last follow-up, Bohler's angle was restored to normal [20°-40°] in 17 feet [85 %] while 3 feet [15 %] was less than normal. Wound infection was seen in [10%], each of varus heel deformity and flexion deformity of big toe was found in one patient [5.0%] and two case had reflex sympathetic dystrophy. Finally, there was no association between fracture type and subtalar arthritis. However, patients with subtalar arthritis had significantly lower AOFAS score when compared to patients with no subtalar arthritis [76.22±6.24 vs 87.0±6.05 respectively, p < 0.001]. Conclusion: Displaced calcaneal fractures treated surgically are associated with a relatively better functional outcome, provided that, Bohler's angle was restored to its normal or near normal values.

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Section: Discussionsupporting

confidence: 48%

Treatment of Calcaneal Fracture by Calcaneal Plate

Elfattah¹,

Yousef

El-Shoura

2021

International Journal of Medical Arts

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“…Kulkarni, et.al. 14 compared operative and conservative treatment in displaced intraarticular fractures of calcaneum (n = 15 in each group). They evaluated restoration of Bohler's angle along with Creighton-Nebraska (C-N) score for functional outcome.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome Estimation of Calcaneum Fractures Treated by Open Reduction and Internal Fixation with Plate and Screws in A Tertiary Centre: A Descriptive Cross-sectional Study

Dwivedi¹,

Khatri²,

Kc³

2020

J Nepal Med Assoc

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Introduction: Calcaneum fractures constitute about 60% of all tarsal bone fractures. Intra-articularfractures account for 70% of all calcaneal fractures. There are controversies regarding the operativetreatment of calcaneum fractures. Therefore this study aimed to estimate the functional outcomes ofcalcaneum fractures treated by open reduction and internal fixation with plate and screws. Methods: This descriptive, cross-sectional study was carried out at the tertiary care center in thewestern region of Nepal among the patients with displaced intra-articular calcaneum fractures fromFebruary 2017 to July 2020 after approval from the Institutional review committee. Convenientsampling was done to reach the sample size. Fifteen cases were included in the study. Data wererecorded in proforma and Data analysis was done in the statistical package for social sciences. TheAmerican Orthopedic Foot and Ankle Society Hindfoot score was used to assess the final outcome. Results: According to the American Orthopedic Foot and Ankle Society hindfoot scores, there werefive excellent (33.33%), seven good (46.66%), two fair (13.33%) and one poor (6.66 %) results. Conclusions: In displaced intra-articular calcaneum fractures, open reduction and internal fixationwith plates and screws result in a good number of satisfactory outcomes with very few unsatisfactoryresults. Hence it can be a better option of treatment in displaced intra-articular calcaneum fractures.

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“…In the literature, higher AOFAS scores have been reported in surgically treated patients, and patients have reported better FFI scores. [14] Kulkarni et al [22] reported an acceptable complication rate in patients treated with ORIF in their study comparing the outcomes of patients who received surgical and conservative treatment, and reported good functional outcomes and higher patient satisfaction. In our study, patient-reported outcomes were significantly better in the surgical group in terms of FFI scores (p=0.006, Table II).…”

Section: Discussionmentioning

confidence: 99%