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Analysis Study Research Paper | Orthopaedic Surgery | India | Volume 14 Issue 4, April 2025 | Popularity: 5.3 / 10
Plating Technique Outcome Evaluation in Calcaneal Fractures Based on American Orthopaedics Foot and Ankle Score and Bohler and Gissane Angle in Tertiary Centre in North Kerala: A Cross-Sectional Study
Dr. Jensen Joseph, Dr. Riyaz N N
Abstract: Introduction: The most frequent tarsal bone damage occurs due to calcaneal fractures (CF) that accounts to around 2% of all fractures in the human body. Bohler and Gissane angles can be used to measure abnormalities in calcaneal height. They serve as important parameter qualities in diagnosis, therapy, and prognosis. Plating has evolved as an important treatment for calcaneal fractures. Objectives: The purpose of the study is to assess the effectiveness of calcaneal plating for calcaneal fractures based on radiological and clinical results. Methods: We conducted a hospital based cross sectional study in the Orthopaedics department, GMC Kannur, Kerala between2021 to 2022. After institutional Ethical Committee approval and informed written consent, around 48 patients who had calcaneal fractures were selected based on the inclusion and exclusion criteria. All patients were evaluated with proper clinical history, thorough clinical examination and Xray evaluation. Results: We reached 48 cases, of whom 43% belonged to 18-30 years, with the mean age of 34.4 (6.7) years. Around 81% were males. More than half (60%) had duration of injury of less than 3 days. Almost 87.6% had fall from height as mode of injury. We observed that there was an increase in the Gissane?s angle and decrease in Bohler?s angle during the post op period at 6 months and 1 year, and it was found to be statistically significant. (p value <0.05) Incidence of complications was also noted only among 16%. We observed that there was an increase in aofas score during postop period and it was found to be statistically significant. (P value <0.05). Conclusion: Thus, through our study, we recommend the use of plating techniques for the treatment of calcaneal fracture cases. This could possibly improve both the clinical and radiological outcomes among patients with lesser incidence of complications.
Keywords: Calcaneal fractures, Gissane angle, Bohler angle, Complications, Plating
Edition: Volume 14 Issue 4, April 2025
Pages: 662 - 690
DOI: https://www.doi.org/10.21275/SR231130110346
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