Abstract

Calcaneus is the largest of the tarsal bones of the foot and is the first tarsal bone to ossify. No treatment, conservative treatment, open reduction and internal fixation, primary subtalar arthrodesis, delayed primary arthrodesis and calcanectomy are treatment options in the literature. Present study was aimed to study functional outcomes in calcaneum fracture underwent surgical management at a tertiary hospital. Material and Methods: Present study was single-center, prospective, observational study, conducted in patients from age group of 16 to 60 years, all gender, with isolated calcaneum fracture, underwent surgical management. Results: Total of 30 cases were enrolled, which underwent operative management. Majority were males (86.67 %), from 0-30 years (46.67 %), mean age was 34.87 ± 12.0 years. Of all the fractures 53.3% were present on left side and 46.7% on right side. Most of the patients had fall from height i.e.in 66.67 % of all the fractures. Majority were of Sander’s type I (53.33 %), followed by type II (33.33 %) & type III (13.33 %). C N Scores of pre treatment (83.3 ± 6.2), Sander’s type II (85 ± 5) & Sander’s type III (87 ± 5.7) were measured. Mean C N Score was good in majority cases (66.67 %), followed by excellent (20 %) & fair (13.33 %) outcome. Among the operative group CRIF with CC screw were 33.3%, ORIF with reconstruction plate with CC screw were 40% and ORIF with Calcaneum AC plate were 26.7%. In present study, mean union time was 17.9 ± 3.3 weeks Conclusion: The goal of treating displaced and comminuted calcaneal fractures is to achieve an anatomical reduction and restore Bohler's angle.

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