Treatment of Calcaneal Fracture by Calcaneal Plate

Background: Calcaneal fractures are not uncommon, accounting for 2% and 60.0% of all adult and tarsal fractures, respectively. Its treatment is still controversial. Aim of the work: To assess results and complications of calcaneal fractures treatment by fixation with calcaneal plate on clinical an...

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Autores principales:	Abed Anwar Abd Elfattah, Salah Eldeen Yousef, Samir Elshoura
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	calcaneal plate fracture bohler’ s intra-articular Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/787a26e6ac7d4e669c61db9daba23d82
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spelling	oai:doaj.org-article:787a26e6ac7d4e669c61db9daba23d822021-12-02T14:44:45ZTreatment of Calcaneal Fracture by Calcaneal Plate2636-41742682-378010.21608/ijma.2021.45167.1187https://doaj.org/article/787a26e6ac7d4e669c61db9daba23d822021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_163609_979baf68cbb255ad5d7170600b5f38d1.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Calcaneal fractures are not uncommon, accounting for 2% and 60.0% of all adult and tarsal fractures, respectively. Its treatment is still controversial. Aim of the work: To assess results and complications of calcaneal fractures treatment by fixation with calcaneal plate on clinical and radiological basis. Patients and Methods: A convenient sample of 20 patients, with calcaneal fractures and treated by calcaneal plate fixation were included. They were assessed in preoperative period in a systematic manner. Then, treated with a locking plate. Postoperatively, immediate X-rays, examination of the neurovascular status had been done. Anti-edematous, pain therapy, intravenous antibiotics and anticoagulation medication were administered. All patients had been followed up at 8, 16 weeks after operation and assessed for functional and anatomical state. RESULTS: According to the American Orthopedic Foot Ankle Society [AOFAS] Ankle-Hindfoot Score, the outcome was excellent [30.0%], good [40.0%], fair [20.0%] and poor [10.0%]. At the last follow‑up, Bohler’s angle was restored to normal [20°-40°] in 17 feet [85 %] while 3 feet [15 %] was less than normal. Wound infection was seen in [10%], each of varus heel deformity and flexion deformity of big toe was found in one patient [5.0%] and two case had reflex sympathetic dystrophy.Finally, there was no association between fracture type and subtalar arthritis. However, patients with subtalar arthritis had significantly lower AOFAS score when compared to patients with no subtalar arthritis [76.22±6.24 vs 87.0±6.05 respectively, p < 0.001]. Conclusion: Displaced calcaneal fractures treated surgically are associated with a relatively better functional outcome, provided that, Bohler's angle was restored to its normal or near normal values.Abed Anwar Abd ElfattahSalah Eldeen YousefSamir ElshouraAl-Azhar University, Faculty of Medicine (Damietta)articlecalcanealplatefracturebohler’ sintra-articularMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1471-1481 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	calcaneal plate fracture bohler’ s intra-articular Medicine (General) R5-920
spellingShingle	calcaneal plate fracture bohler’ s intra-articular Medicine (General) R5-920 Abed Anwar Abd Elfattah Salah Eldeen Yousef Samir Elshoura Treatment of Calcaneal Fracture by Calcaneal Plate
description	Background: Calcaneal fractures are not uncommon, accounting for 2% and 60.0% of all adult and tarsal fractures, respectively. Its treatment is still controversial. Aim of the work: To assess results and complications of calcaneal fractures treatment by fixation with calcaneal plate on clinical and radiological basis. Patients and Methods: A convenient sample of 20 patients, with calcaneal fractures and treated by calcaneal plate fixation were included. They were assessed in preoperative period in a systematic manner. Then, treated with a locking plate. Postoperatively, immediate X-rays, examination of the neurovascular status had been done. Anti-edematous, pain therapy, intravenous antibiotics and anticoagulation medication were administered. All patients had been followed up at 8, 16 weeks after operation and assessed for functional and anatomical state. RESULTS: According to the American Orthopedic Foot Ankle Society [AOFAS] Ankle-Hindfoot Score, the outcome was excellent [30.0%], good [40.0%], fair [20.0%] and poor [10.0%]. At the last follow‑up, Bohler’s angle was restored to normal [20°-40°] in 17 feet [85 %] while 3 feet [15 %] was less than normal. Wound infection was seen in [10%], each of varus heel deformity and flexion deformity of big toe was found in one patient [5.0%] and two case had reflex sympathetic dystrophy.Finally, there was no association between fracture type and subtalar arthritis. However, patients with subtalar arthritis had significantly lower AOFAS score when compared to patients with no subtalar arthritis [76.22±6.24 vs 87.0±6.05 respectively, p < 0.001]. Conclusion: Displaced calcaneal fractures treated surgically are associated with a relatively better functional outcome, provided that, Bohler's angle was restored to its normal or near normal values.
format	article
author	Abed Anwar Abd Elfattah Salah Eldeen Yousef Samir Elshoura
author_facet	Abed Anwar Abd Elfattah Salah Eldeen Yousef Samir Elshoura
author_sort	Abed Anwar Abd Elfattah
title	Treatment of Calcaneal Fracture by Calcaneal Plate
title_short	Treatment of Calcaneal Fracture by Calcaneal Plate
title_full	Treatment of Calcaneal Fracture by Calcaneal Plate
title_fullStr	Treatment of Calcaneal Fracture by Calcaneal Plate
title_full_unstemmed	Treatment of Calcaneal Fracture by Calcaneal Plate
title_sort	treatment of calcaneal fracture by calcaneal plate
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/787a26e6ac7d4e669c61db9daba23d82
work_keys_str_mv	AT abedanwarabdelfattah treatmentofcalcanealfracturebycalcanealplate AT salaheldeenyousef treatmentofcalcanealfracturebycalcanealplate AT samirelshoura treatmentofcalcanealfracturebycalcanealplate
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Treatment of Calcaneal Fracture by Calcaneal Plate

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