Study of Functional Outcome of Calcaneal Fractures with Percutaneous Cancellous Screws Fixation in Central Rural India

Abstract

Background: Calcaneum fractures are nearly 2% of all adult fractures. Calcaneum is the main weight
bearing bone in the foot. Mostly these fractures are caused by high energy trauma/fall from height leading
to various patterns of fractures. There are various method of treating such fractures but due to high rate
of complications by open reduction and internal fixation hence middle path regime shall be discovered
for treating most important weight bearing bone. Inevitable malunion and arthritis due to conservative
management can be avoided by percutaneous fixation.
Material and Method: A prospective retrospective review of 12 patients with 16 calcaneal fractures who
had percutaneous reduction and screw fixation between January 2019 to April 2020 was done at at Shalinitai
Meghe Hospital and Research center Nagpur. These cases were managed with 3-4 percutaneous cancellous
screws.
Results: The results were assessed with Calcaneal fracture scoring system and Maryland foot scoring system
and showed good to excellent functional results of complex intra-articular calcaneal fractures.
Conclusion: Percutaneous method of fixation with Cancellous screws is a far superior modality of treatment
of calcaneal fractures in order to get better functional outcome with minimal complications.