2019, Vol. 3 Issue 2, Part B
Presently, largely because of fear of complications, calcaneal fractures are treated conservatively. Complications can be as many when treated conservatively as when operated. About 17 in 100 cases end up with subtalar joint arthritis when treated with cast application as compared to 3 in 100 when treated operatively 
. A good functional outcome can be expected when accurate and timely surgical intervention aiming at anatomical joint reduction, attaining normal calcaneal height, width and lengthening 
Methods: Twenty displaced intraarticular calcaneal fractures between July 2010 to July 2014 that presented at Victoria hospital and Bowring and Lady Curzon hospital, Bangalore were treated with Open reduction and internal fixation with locking calcaneal plates using Fernandez’s approach , without use of bone graft. Sander’s classification  was used to classify the fractures. Functional outcome was assessed using Maryland Foot Score . The average follow up was 26 months.
Results: 85% of the cases were men and the rest women. Sander’s type 1 and type 4 were excluded from the study. 30% Sander’s type 2, 70% type 3. Apart from one case rest all had a near normal fracture reduction. All cases united radiologically at an average of 14 weeks time. 7 cases had excellent, 11 good and 2 had fair functional results at final follow up. There were no functional failures.Type 2 fractures had a mean MFS of 85.6 while type 3 had a mean of 87.3 showing there was no significant differences in the two fracture groups.
Conclusion: The severity of fracture does not significantly affect the functional outcome when displaced intraarticular calcaneal fractures are promptly treated surgically while focusing on the principles of intra articular reduction, attaining calcaneal height, length and width.