Calcaneal fractures: An audit of radiological outcome.

OBJECTIVE To assess radiological outcome of management of calcaneal fractures. METHODS The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised data of calcaneal fractures managed between February , 2008 and February, 2014 Cases were identified through medical records, and X-rays were reviewed through digital radiology archive. Bohler\'s angle, Gissane\'s angle, calcaneal height and width were assessed digitally on pre-operative and post-operative X-ray images. RESULTS Of the27 patients, only 1(3.7%) was female. The cause of fracture was fall from height 15(56%), road traffic accidents 7(26%) and bomb blasts5(19%). Tongue type fractures were 16(59%) and 11(41%) were joint depression type. There was a significant mean increase in Bohler\'s angle (p<0.001) and mean decrease in calcaneal width (p=0.023). Gissane\'s angle and calcaneal height increased marginally (p> 0.05 each). CONCLUSIONS Measurable improvement in anatomical parameters is possible with surgery, which is a prerequisite for good functional results.

[1]  Robert B. Anderson,et al.  Advances in Surgical Management of Intra-articular Calcaneus Fractures , 2015, The Journal of the American Academy of Orthopaedic Surgeons.

[2]  Minfei Qiang,et al.  Measurement of three-dimensional morphological characteristics of the calcaneus using CT image post-processing , 2014, Journal of Foot and Ankle Research.

[3]  S. Awais,et al.  STUDY OF OCCURRENCE, DEMOGRAPHY AND PATHOMORPHOLOGY OF ANKLE AND FOOT FRACTURES AND EVALUATION OF THE TREATMENT OUTCOME OF CALCANEAL FRACTURES , 2014 .

[4]  I. Čižmář,et al.  [Intra-articular calcaneal fractures]. , 2006, Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca.

[5]  R. Buckley,et al.  An economic evaluation of operative compared with nonoperative management of displaced intra-articular calcaneal fractures. , 2005, The Journal of bone and joint surgery. American volume.

[6]  R. Sanders,et al.  Open Reduction and Internal Fixation With Primary Subtalar Arthrodesis for Sanders Type IV Calcaneus Fractures , 2004 .

[7]  H. Zwipp,et al.  Calcaneal fractures--open reduction and internal fixation (ORIF). , 2004, Injury.

[8]  H. Zwipp,et al.  [Calcaneal fractures--the most frequent tarsal fractures]. , 2004, Therapeutische Umschau. Revue therapeutique.

[9]  P. Rajkumar,et al.  Surgical treatment of displaced intra-articular fractures of the os-calcis , 2003 .

[10]  D. Mason,et al.  Occult fracture of the calcaneus in toddlers. , 1996, Journal of pediatric orthopedics.

[11]  R. Sanders,et al.  Operative Treatment in 120 Displaced Intraarticular Calcaneal Fractures Results Using a Prognostic Computed Tomography Scan Classification , 1993, Clinical orthopaedics and related research.

[12]  D. Hudson,et al.  Calcaneal fractures in children. , 1989, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[13]  L. Wiklund,et al.  Fractures of the calcaneus. A comparison of open and closed treatment. , 1984, Acta orthopaedica Scandinavica.

[14]  S. Santavirta,et al.  Fractures of the calcaneum. , 1979, The Journal of trauma.

[15]  P. Essex-Lopresti.  The mechanism, reduction technique, and results in fractures of the OS calcis , 1952, The British journal of surgery.

[16]  Lorenz Böhler,et al.  DIAGNOSIS, PATHOLOGY, AND TREATMENT OF FRACTURES OF THE OS CALCIS , 1931 .