Comparison of open reduction internal fixation by lateral extensile approach versus conservative management in sanders type 2 and 3 calcaneum fractures: a prospective, two-arm, parallel group study

Autor: Pankaj V. Tathe, Rohit Garg, Nilesh S. Sakharkar, Aniket Adewar, Ayush Mithal, Akshay J. Atilkar
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Research in Orthopaedics. 9:272-277
ISSN: 2455-4510
Popis: Background: Calcaneum bone is the most common tarsal bone to get fractured. It accounts for 50-60% of all fractured tarsal bones. Calcaneum fractures are always debilitating and are challenging and cumbersome to treat. There is a paucity of Indian studies to assess the comparative treatment outcomes of calcaneal fractures treated by non-operative conservative procedure and open reduction internal fixation by lateral extensile approach. Methods: Adult patients with closed intra-articular calcaneum fractures of Sanders type 2 and 3 were enrolled. Patients managed by cast application (non-operative) or open reduction internal fixation (operative) were separated into two groups. The VAS score for pain, range of motion, radiological angles (Bohler’s and Crucial angle of Gissane) and parameters, functional scores American orthopedic foot and ankle society and Maryland foot score were evaluated sixth month and 1-year post-intervention and compared between the study groups. Descriptive statistics were used for statistical analysis. Results: 29 patients managed with open reduction internal fixation (N=15) or cast application (N=14) were enrolled. The mean age of patients was 39.54±7.81 years, 22 being males and 7 females. Mean VAS score was significantly lower in the plating group at sixth month (4.31+0.69 vs. 5.01+0.66, p
Databáze: OpenAIRE