New Concept of Delayed Open Reduction and Internal Fixation of Closed Recent Intra-articular Calcaneal Fractures

Mohamed M. Abd El-Monem Gafar, Mustafa Taha Al-Akkad, Ahmed Mostafa

Abstract: Aim To evaluate proper timing for open reduction and internal fixation of closed recent intra-articular calcaneal fractures, and trying to establish a new concept of delayed surgery for these fractures in order to decrease post-operative wound complications, and so improving functional outcome. Design Retrospective study. patients and Methods 64 patients with 72 intra-articular calcaneal fractures, treated via open reduction using extensile lateral approach and internal fixation using plates and screws in our hospital, from February 2008 to December 2014. Results Delayed, open reduction and internal fixation of closed recent intra-articular calcaneal fractures in our series showing reduction in post-operative wound complications, in our study the mean delaying in surgery, in uncomplicated group was 8.38 days post fracture. Conclusion We recommend to delay open reduction and internal fixation, if indicated, for the treatment of closed recent intra-articular fractures, good appreciation, and management of the soft tissue condition pre-operatively, in order to reduce the post-operative wound complications, and therefore optimize the clinical outcome.

Keywords: fracture, calcaneus, surgery, delayed, timing