Journal of AdvancedMedical and Dental Sciences Research

Back ground: Fractures of the calcaneum are one of the common fractures affecting present generation and treatment modality has to be decided carefully.The contoured plate fixation has improved the functional results, limited indication for bone grafting and shortened duration of treatment. Aim: Study was done to evaluate the results of operative management for intra-articular calcaneum fractures on basis of subjective, clinical and radiological criteria in our hospital setup. Materials and methods: This is combined retrospective and prospective study of 26 intra-articular. Patients who have already undergone treatment for this fracture and also the patients newly diagnosed as intra-articular calcaneum fracture were taken in study with followupperiodof1year. Results: Mean age of 38 years, 2 patients had bilateral fractures.14 had left sided fractures while 08 had right sided fractures and mode of injury for the 19 patients was fall from a height and RTA for 5 patients.15 patients had SANDERS type 3 fracture and 11 patients had SANDERS type 2 fractures. Post operatively 6 patients had swelling and 9 patients had persistent pain, 2 had superficial infection and  one had deep infection. Of the 24 patients (26 fractures), 5 had excellent results, 15 had good results, 4 had fair results,  2 had poor results .Conclusion: So operative treatment of comminuted calcaneum fractures should be done as anotomical reduction and rigid internal fixation is essential to allow early movement and weight bearing.The technique of plate fixation with a lateral approach is good with regards to fracture union and functional outcome.
Key words: Calcaneum, Intra-articular, Plate fixation.