MINIMALLY INVASIVE FIXATION FOR JOINT DEPRESSION FRACTURES OF CALCANEUS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 21
Abstract
BACKGROUND Calcaneus is the most injured tarsal bone mainly due to axial load resulting in intra-articular fractures. The treatment of displaced intra-articular fractures with surgery using extensile approaches are fraught with complications as high as 30%. 30 patients with displaced intra articular fractures are treated with minimally invasive surgical approach with use of multiple K wires. Results using AOFAS scoring showed average score of 82.03 at 28 weeks. 13, 33% scored above 90, 40% scored 80-90 and 46.66% scored below 80. There is significant correlation between the AOFAS Score and age of the patient, smoking habit, Diabetes, restoration of Bohler’s angle after surgery and loss of reduction of the fracture during treatment. There is no significant association for sex, side or mechanism of injury and time of surgery since trauma with AOFAS scoring. Even though no association was seen for infection with smoking, Diabetes is found to be associated with increased infection rate. MATERIALS AND METHODS This study was conducted in Medical College Kottayam which is a tertiary referral centre in Orthopaedics during the time period from JAN 2013 TO DEC 2013.30 cases of fracture calcaneus with joint depression were selected for treatment. Open fractures, fracture in insensate or an immobile person, fracture presented after 3 weeks were excluded. Demographic profile of the patient, history of other co-morbid illnesses, personal history of addictions were recorded. Patients were thoroughly examined and radiological investigations including CT scanning were used. RESULTS During the study period 30 patients were treated for joint depression type of calcaneal fractures. Majority of patients were in the age group of 30-40 (60%) with a mean age of 35.53. Males constituted 90% of all the cases. 70% of injuries were due to fall from height. Right side was involved in 60% of cases. Only 40 % of cases were operated before 12 hours. Of the patients 3 were diabetic (10%) and 6 patients were smokers (20%) CONCLUSION Minimally invasive technique for the treatment of joint depression type of calcaneus fractures was able to produce results comparable to open techniques with a lower rate of serious complications. In the majority of cases, an almost identical Bohler’s angle and geometry of the calcaneus was achieved. Simple removal of the Kirschner wires and shorter surgery time decrease patient stress and must be recognized as an advantage of this minimally invasive technique. Thus, we feel that our minimally invasive technique is a viable alternative for the treatment of joint depression type of calcaneal fractures.
Authors and Affiliations
Tomichan M. C, Imith Kodungookaran
Keywords
Related Articles
- EP ID EP561174
- DOI 10.18410/jebmh/2018/341
- Views 82
- Downloads 0
MULTI DETECTOR COMPUTED TOMOGRAPHY (MDCT) AS A TEACHING AID OF HUMAN ANATOMY
Teaching human anatomy has undergone profound changes in the recent years. These days, with lots of new medical schools getting established, there is acute shortage of cadavers and cadaveric bones to teach the students....
SPECTRUM OF CHILDHOOD EYE DISEASES IN A RURAL MEDICAL COLLEGE- A RETROSPECTIVE STUDY
BACKGROUND Eye disorders in children with different presentations come to Ophthalmology OPD. Early detection and treatment of ocular morbidity is important. This study aimed to detect the prevalence and pattern of common...
A RARE CASE OF EXTRA OVARIAN SEX CORD STROMAL TUMOUR PRESENTING AS BROAD LIGAMENT MASS SYNCHRONOUS OVARIAN MASS; PATHOLOGIC PATTERN REVEALS MIX GRANULOSA FIBROMA, TYPE OF MIX MESONEPHRIC AND MULLERIAN ORIGIN
PRESENTATION OF CASE A 30 yrs. female presented to OPD with a mass abdomen. FNAC of the mass showed papillary-adenocarcinoma. She had undergone B/L excision of the mass, which was a broad ligament mass, revealed on lapar...
ACUTE FATTY LIVER OF PREGNANCY MASQUERADING AS HELLP SYNDROME
PRESENTATION OF THE CASE A 28-year-old woman, G2P1L1 at 34-weeks gestation was admitted to our hospital with a history of generalized pruritus for 2 weeks. She also complained of malaise, nausea, vomiting, and yellow col...
STUDY OF CLINICAL AND DEMOGRAPHIC PROFILE OF DENGUE FEVER
India is one of the seven identified countries in the South-East Asia region regularly reporting dengue fever (DF) / dengue hemorrhagic fever (DHF) outbreaks and may soon transform into a major niche for dengue infection...