Abstract

Background: Displaced intra-articular calcaneal fractures remain challenging to manage due to the complex anatomy, soft tissue envelope, and high risk of complications. This prospective study aimed to evaluate the functional and radiological outcomes of surgical treatment using open reduction and internal fixation with calcaneal locking plates. Methods: Twenty patients with displaced intra-articular calcaneal fractures underwent open reduction and internal fixation with calcaneal locking plates. Radiographic outcomes, including Böhler's angle, Gissane's angle, and calcaneal width, were assessed pre- and postoperatively. Functional outcomes were evaluated using the Maryland Foot Score (MFS). Postoperative complications and occupational rehabilitation were also recorded. Results: Radiographic outcomes showed significant improvements in Böhler's angle (from 1.7 ± 3.2° to 26.85 ± 4.1°, p < 0.001), Gissane's angle (from 158.55 ± 8.3° to 127.7 ± 6.2°, p < 0.001), and calcaneal width (from 7.58 ± 0.6 cm to 6.76 ± 0.4 cm, p < 0.001) following surgery. Functional outcomes were excellent or good in 90% of patients, with a mean MFS of 86.25 ± 8.4. Complications were observed in 20% of patients, with each of wound dehiscence, superficial skin necrosis, deep infection, and subtalar arthritis occurring in 5% of patients. Occupational rehabilitation was achieved in 80% of patients.

Description