Journal of AdvancedMedical and Dental Sciences Research

Background: Fractures of the calcaneus, or heel bone, make up about 2% of all fractures and are the commonest fracture of the tarsal bones. There are two treatment modalities for the management of fractures such as operative and non- operative. The present study was done to compare the operative verses non operative management of calcaneus bone fracture. Materials & Methods: This study was carried out in year 2014. It included 140 patients who had fractured calcaneus bone. They were divided into 2 groups. Group I (operative) - It included 70 patients (males- 35, females- 35). Group II (non operative) - It included 70 patients (males- 35, females- 35). In group I, open reduction and fixation and in group II closed reduction was done. Postoperative complications were compared in both groups. Results: Patients were divided into 2 groups. Group I (operative) which included 35 males and 35 females. Group II (non operative) which included 35 males and 35 females. The difference was non - significant (P > 0.05). Mean age of males and females in group I was 42.5 years and 41.0 years respectively. Mean age of males and females in group II was 48.2 years and 44.6 years respectively. BMI of males and females in group I was 24.2 and 25.4 respectively. BMI of males and females in group II was 26.2 and 24.8 respectively. Number of diabetic males and females in group I was 4 and 2 respectively. Number of diabetic males and females in group II was 5 and 3 respectively. Number of smokers males in group I was 5 and number of smokers males and females in group II was 4 and 1 respectively. Neurovascular injuries in group I was 2 and in group II was 1. The difference was non- significant (P > 0.05). Surgical site infection in group I was seen in 10 patients in group I and in I patient in group II. The difference was significant (P < 0.05). Reoperations were done in 12 patients in group I and 4 patients in group II. The difference was significant (P < 0.05). 1 patient in group I and 4 patients in group II showed sural nerve injury. The difference was significant (P < 0.05). Conclusion: The management of calcaneus bone fracture is operative and non operative which varies depending upon the situation. The number of complications found to be more in operative group as compared to non operative group.
Key words: Calcaneus, Diabetics, Tarsal