Outcome of Calcaneal Platting after fracture: two year follow-up

The present study is aimed to analyse the results of surgical outcome of the intra articular reduction of Calcaneal fractures fixed using better implants. The treatment of Calcaneal fractures have evolved from conservative to operative management during the last few years thanks to better understanding of fracture pattern and availability of better implants. Methods: Thirty intra-articular fractures were prospectively evaluated followed up for mean 18 months. Calcaneum plates and locking reconstruction plates and were used using the lateral approach. McMaster technique was used to measure the final inversion and eversion of the foot. Results: Height and width of the Calcaneum were restored within 0.5-1 cm as compared to the normal side. The results were extrapolated as excellent in 13 patients (43%), good result in 11(37%) patients and fair in 4 (14%) and poor in 02 patients (7%) using Maryland foot and AOFAS scoring system. Conclusion: Surgical management is the treatment of choice for the majority of Calcaneal fractures. Amount of initial injury is the primary determinant of future outcome especially comminution, soft tissue compromise and joint surface destruction. The value of Bohler angle >20 degrees after reduction is good outcome factor. 86% patients have excellent and good results as per AOFAS and Marlyland foot score. The gait and joint range of motion are known to improve gradually with time and exercise.