Intra-articular fractures of the calcaneus: results of the open reduction and internal fixation with angle fixed calcaneus plate

ABSTRACT

Between January 2001 and May 2004, 25 patients with 36 intra-articular fractures of the calcaneus were treated using a standard protocol of open reduction and angle fixed calcaneus plate fixation. All patients with displaced intraarticular fractures were treated surgically. Only those with undisplaced fractures, extra articular fractures, and fractures more than four weeks old and the severely comminuted fractures were treated conservatively. The mean period of follow-up was 26 months [range; 18 to 34], their clinical and radiological results were analyzed. Clinical results were satisfactory [excellent, and good] in 22 patients [88%], and radiological results were excellent in 14 fractures [38.4%], good in 20 fractures [55.6%], superficial infection and wound healing problems was in 3 patients [8.3%]. Analysis of the clinical and radiological results showed that open reduction and internal fixation of displaced intraarticular fractures Sanders type-II, and type-III os. calcis with angle fixed calcaneus plate is suitable and reliable type of fixation