Operative Management of Calcaneal Fractures using Mippo Technique

Introduction: Calcaneal fractures continues to be a topic ofcontroversy in terms of the optimal management modality.Current study aimed to access the sinus tarsi approach forthe fixation of calcaneal fractures in terms of radiological andfunctional results.Material and Methods: Study was conducted on 30 patientsof both genders aged between 20 and 60 years with both jointdepression and tongue type fractures, Sanders type 2 and type3 fractures.Results: In our study, as per AOFAS Scale at 3 months, 19(63.33%) calcaneum cases fell into the excellent group, 9 (30%)into good and 2(6.66%) into poor result group. The Mean ±SDAOFAS scale was 78.43±7.17 (range 55-85). At 6 months, theresult as per AOFAS scale showed further improvement with 28(93.33%) calcaneum cases falling into the excellent group and 2(6.66%) falling into the good result group. None of them fell inpoor group at 6 months follow up. The Mean ±SD AOFAS scalewas 90.03±5.24 (range 74-95).Conclusion: Fixation with plate using MIPPO techniquethrough sinus tarsi approach is an effective and safe methodwith good clinical and radiological results, for the treatmentof calcaneal fractures; to achieve anatomical restoration undervision, stable fixation and early mobilization with minimal softtissue complications.

Comparative Study of Carrying Angle between Dominant and Non Dominanat Limb in Kashmiri Population

Introduction: Carrying angle (CA) is the angle subtendedby median axis of the arm with fully extended and supinatedforearm. There is scarcity of evidence in the literature regardingdifferences between the CA in both sexes depending uponthe ossification of arm and forearm bones and comparison ofCA between dominant and non dominant limb. Study aimedat comparison of data obtained by measuring CA by manualmethod between dominant and non dominant limb in agegroup 18 – 30 years.Material and Methods: CA was measured in 200 individualsof both sexes by clinical method with a manual goniometer.Results: Present study shows the significant gender differenceand significant difference between dominant and non dominantlimb.Conclusion: Unnecessary x ray exposure to children, youngadults and pregnant women can be avoided, by measuring CAby clinical methods.