Introduction: Fractures of the calcaneum, the most commonly injured tarsal bone, has an incidence of approximately 1%-2% of all fractures. About three quarters of all calcaneal fractures are intra-articular and involve the subtalar joint. The most common mode of injury is a fall from height with impact being directly on the heel. There are various methods of treatment for fractures of the calcaneum such as kirschner wire fixation, percutaneous cannulated screw fixation and plate fixation and yet there is still no single method which has proven to give consistently favourable results.
Material and Methods: This retrospective study was carried out by assessing patients with calcaneal fractures admitted to D Y Patil Medical College and hospital from June 2019 to March 2021. A group of these patients were treated by percutaneous screw fixation while plate fixation was used in the others. 40 patients qualified for the inclusion criteria, 20 being in one group and 20 in the other. The groups were classified according to age, sex, mechanism of injury, Sanders classification etc. The mean time between being hospitalized due to injury and commencement of surgery was 4 days.
Discussion: Calcaneum fractures were historically managed conservatively and that was considered the gold standard of treatment. However, over the years, various methods of internal fixation started showing excellent results. In our study, excellent results were achieved in 12(60%) patients in the percutaneous cc screw fixation group as compared to 0 patients in the plating group. Good results were achieved in 8(40%) patients in both groups whereas medium and poor results were achieved in 8(40%) and 4(20%) patients respectively in the plating group. This suggests that all of the patients treated by percutaneous cc screw fixation for calcaneum fractures in this study yielded either excellent or good results whereas those treated by plating yielded variable results.
Conclusion: On comparing percutaneous CC screw fixation and plating for calcaneal fractures Sander’s types II, IIIa, IIIb, we found that the AOFAS score when integrated with patient satisfaction was statistically proven to be better for the group with percutaneous CC screw fixation as compared to the group with calcaneal plate fixation.