Open reduction and ao osteosynthesis of displaced intra-articular fractures of the calcaneus

ABSTRACT

Twenty displaced intra-articular fractures of the calcaneus [in 20 patients] were treated by open reduction and AO osteosynthesis. Lateral approach, corticocancellous iliac bone graft, AO cervical plate, AO 4 mm cancellous screws were used in all cases. Active and assisted active movements of the subtalar joint started five to seven days postoperatively. Scoring system of Crosby and Fitzgibbons 1990 was used for clinical assessment. Radiological measurements were made from lateral and axial views. The articular congruity of the subtalar joint and any arthritic changes were also assessed. Thirteen cases were good, six were poor and one was fair after a follow up period ranged from 16-36 month [average 26 months] with an average of 73% of normal subtalar motion