Correlation of bohler’s angle and role of bone graft in the functional outcome of displaced intra-articular calcaneal fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background: Calcaneum is the most common tarsal bone fractured. The treatment is difficult and rehabilitation can be time-consuming, and still the outcome is highly unpredictable. This makes calcaneal fractures a huge socio-economic burden to society. This made us search for a variable, like Bohler’s angle, which we could relate with functional outcome in patients with intra articular calcaneal fractures. Material and method: 42 patients who had intra-articular fracture of a calcaneum were selected. All the patients were investigated preoperatively with x-rays and CT scanning. The Bohler’s angle was calculated on the lateral radiograph manually with the help of goniometer and a record was prepared for future references. Randomization was done and all patients were managed with open reduction and internal fixation with plate with or without bone graft. Bohler’s angle was measured post operatively and at follow up on 4 weeks, 6 weeks, 8 weeks and after 3 and 6 months and 1 year. Assessment of the patient with Functional recovery was done with American orthopaedic foot and ankle score (AOFAS) minimum 6 months after injury. Result: Our study of 42 calcaneal fractures confirms that there is statistically significant difference between the functional outcome of patients regarding correction of the Bohler’s angle obtained during surgery. When Bohler’s angle is restored within normal limits, in an operated calcaneus fractures, fewer complications and statistically significant better results were observed. We also confirmed that autologous bone graft is beneficial in achieving and maintaining restoration of calcaneal height and anatomic reduction. Conclusion: In view of the excellent results obtained with restoration of Bohler’s angle, we advocate the use of Bohler’s angle as a key to achieve excellent result in displaced calcaneal fracture and also use of autologous bone graft in achieving and maintaining normal Bohler’s angle.
Authors and Affiliations
Eknath Pawar, Sandeep Gavhale, Arohi Sharma, Ujwal Ramteke, Ankit Marfatia
Keywords
Related Articles
- EP ID EP485441
- DOI 10.22271/ortho.2018.v4.i1k.110
- Views 109
- Downloads 0
Shoe lace technique, a simple and less expensive method for Fasciotomy wound closure following compartment syndrome
Introduction: Compartment syndrome is a common and severe medical condition that can lead to ischemia and ultimately tissue loss. The treatment of choice is emergent fasciotomy to lower the compartment pressure. However,...
Prospective study of hemiarthroplasty for intracapsular fracture neck of femur using modular bipolar prosthesis
Fracture neck of femur is a leading cause of hospital admissions in elderly age group. The number of such admissions is on a rise because of increased longevity, osteoporosis and sedentary habits. Conservative methods of...
Evaluation of Efficacy of LMWH in Preventing DVT in Elderly Patients with Osteoporotic Hip Fracture
Background: As the geriatric population is rising, the incidence of osteoporotic fractures, especially hip fracture also increasing. Elderly patients with lower limb fracture especially osteoporotic hip fracture are at h...
Clinical outcomes in patients undergoing microlumbar discectomy for lumbar disc herniation
Introduction: Lumbar microdiscectomy has been associated with high rates of success and low postoperative morbidity. We aimed to evaluate the clinical outcome of patients undergoing lumbar microdisectomy for disc herniat...
Clinico-radiological results of unstable trochanteric fractures treated with custom-made trochanteric stabilisation plate and dynamic hip screw (DHS)
Aim: To evaluate the clinico-radiological results of implantation of Custom-made Trochanteric stabilisation plate (TSP) along with Dynamic Hip Screw (DHS) in unstable trochanteric fractures and assess whether it prevents...