Mid-term results of calcaneal plating for displaced intraarticular calcaneus fractures

Abstract

İntroduction: The radiological and functional results of surgical treatment in intraarticular calcaneal fractures are presented in this study. Method: 27 feet of 26 patients with displaced intraarticular fractures were treated surgically in our clinic between November 2003 and May 2009. 21 patients were male (81%), and 5 were female (19%). The average age was 29.2 (range, 18-61 years) at the time of the surgical treatment. Open reduction internal fixation was performed by using a calcaneal plate. Results: The results were evaluated according to the Maryland foot score and Creighton-Nebraska scores.The radiological evaluation was made according to the mean value changes of Böhler and Gissena angles. The mean follow-up period was 34.4 months (range, 19 to 85 months). Except for 3 patients with Sanders type-4 fractures, good results were obtained with surgical treatment. Conclusion: We conclude, open reduction and internal fixation methods yield reasonable outcome, even in patients with Sanders type 4 intraarticular fractures of the calcaneus.

Keywords: Calcaneus fracture, Sanders classification, calcaneal plating, intraarticular fracture.