2022, Vol. 6 Issue 4, Part A
Introduction: The calcaneal fractures usually result from high energy trauma such as fall from height, road traffic and industrial accidents. Calcaneal fractures constitute about 2% of all skeltal fractures. These fractures are usually displaced and intraarticular in about 60 to 75% of cases and the treatment varies accordingly, however there is still controversy regarding the treatment of calcaneal fractures.
Materials and Methods: The current study retrospectively analyzed 30 cases of calcaneal fractures using the minimally invasive, the ilizarov ring fixation technique at the Postgraduate Department of Orthopaedics, Government hospital for Bone and Joint Surgery Barzulla, an associated hospital of GMC Srinagar from date June 2020 to June 2021.
Results: There were 12 (40%) excellent, 9(30%) good, 5(16.66 %) fair and 4(13.33%) poor. We achieved good alignment in all cases except 4 (13.33%) feet and had varus deformity at the last follow‑up. Superficial pin tract infection occurred in 5 (16.66%) fractures which was controlled with local antibiotics and frequent pin care. The range of movement of the subtalar joint was >25° in 23 (76.66%) patients. In 7 (23.33%), the range of movement of the subtalar joint was <25°.
Conclusion: Based on these observations, we can say that this subtalar joint spanning Ilizarov frame is a useful device in treating intra-articular calcaneal fractures helping patients in gaining an early range of motion at foot and ankle joints, early weight-bearing with reduced incidence of subtalar arthritis. It provides a good functional foot outcome with a low risk of postoperative complications.