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Comparative Studies | Orthopaedic Surgery | India | Volume 13 Issue 5, May 2024 | Rating: 5 / 10
Comparative Study of Calcaneal Fractures Treated with Percutaneous Screw Fixation and Plate Fixation
Dr. Siva Ramakrishna Posina, Dr N Vishnu Vardhan
Abstract: Introduction: About 1%-2% of all fractures are calcaneal fractures, which are the most common injuries to the tarsal bone. The subtalar joint is involved in about 75% of intra - articular calcaneal fractures. The most frequent way for an injury to occur is from a fall that strikes the heel squarely. There are several ways to treat calcaneum fractures, including Kirschner wire fixation, percutaneous cannulated screw fixation, and plate fixation, however no one technique has shown to consistently produce positive outcomes. Material and Methods: Patients with calcaneal fractures who were admitted to Narayana Medical College and hospital between June 2022 and Oct 2023 were evaluated for this retrospective analysis. For some of these patients, percutaneous screw fixation was the method of treatment; for the remaining patients, plate fixation was employed. Twenty patients in one group and twenty in the other met the inclusion criteria. The groups were categorized using Sanders classification, age, sex, and the mechanism of injury, among other factors. The average interval between admission to the hospital following an injury and the start of operation was four days. Discussion: In the past, conservative management of calcaneum fractures was thought to be the best course of action. But over time, a number of internal fixation techniques began to produce outstanding outcomes. In contrast to the 0 patients in the plating group, 12 (or 60%) of the patients in the percutaneous cc screw fixation group in our study had outstanding results. In both groups, 8 patients (or 40%) had good results; in the plating group, 4 patients (20%) had bad results and 8 patients (or 40%) had medium results. This shows that whereas patients treated with plating had inconsistent outcomes, all patients treated with percutaneous cc screw fixation for calcaneum fractures in this study had either excellent or good results. Conclusion: We found that, when the AOFAS score was combined with patient satisfaction, the group receiving percutaneous CC screw fixation performed better statistically than the group receiving calcaneal plate fixation for calcaneal fractures Sander's types II, IIIa, and IIIb.
Keywords: calcaneum, locking plate, percutaneous, cc screw, internal fixation
Edition: Volume 13 Issue 5, May 2024
Pages: 631 - 635