Evaluation of the results of open reduction and internal fixation of intra-articular calcaneal fractures by one third tubular plate

ABSTRACT

Treatment of intra-articular calcaneal fracture is still controversial. The aim is to evaluate the results of open reduction and fixation of calcaneal fracture using one third tubular plate and small set screws. Twenty patients with intra-articular calcaneal fractures were treated by open reduction and fixation using one third tubular plates. The average age was 32.5 +/- 4.5 years. The majority were manual workers. Falling from height was the causative trauma in all patients. Eleven patients [55%] had associated fractures. Fractures were classified according to Sanders classification into six type II, twelve type III and two type IV fractures. Our results showed three excellent, eleven good, three fair and three poor outcomes. The results were affected by the height of falling, type of fracture, time elapsed before surgery, presence of infection and the degree of Gissane angle restoration. We concluded that reduction is the main factor to have satisfactory results and that one third tubular plates is an acceptable method of fixation of type II and III intra-articular calcaneal fractures but should not be used in type IV