title: Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum.
abstract: BACKGROUND
  Open reduction and internal fixation (ORIF) is the treatment of choice for displaced intra-articular calcaneal fracture at many orthopaedic trauma centres. In this prospective study, we evaluated the functional outcome and complications of locking compressive calcaneum plate for displaced intra-articular fracture calcaneum.
  
  
  METHODS
  Between October 2011 and March 2012, 30 patients with displaced intra-articular fracture calcaneum attending the outdoor and emergency of our institute were included in the study. All the included patients were operated using standard lateral approach and followed up to 1 year.
  
  
  RESULTS
  Of 30 patients, 14 (48%) patients were Sander's type II, 10 (33%) were type III, and 6 (20%) were type IV. All the patients were evaluated post-operatively. Articular surface of posterior facet of calcaneum and crucial angle of Gissane was maintained in all patients. Four patients had post-operative Boehler's angle <20° and 26 patients had between 21° and 40°. All the patients having post-operative Boehler's angle <20° were type IV as compared to types II and III (statistically significant). Ninety-six percentage of patients having post-operative Boehler's angle 21-40° were more satisfied at 1 year as compared to 25% of patients having post-operative Boehler's angle <20° (statistically significant). Complications were present in 6 (20%) patients.
  
  
  CONCLUSIONS
  ORIF with locking compressive plate in displaced intra-articular fracture calcaneum gives good outcome. Results are more favourable in less comminuted as compared to more comminuted. Maintenance of Boehler's angle is also necessary for satisfactory results along with maintenance of articular congruence of posterior facet of calcaneum and crucial angle of Gissane.
authors.affiliation: Senior Resident, NMCH & GMC, Kota, India.
authors.forename: Surender
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Director Professor, CIO & SJH, India.
authors.forename: Loveneesh G
authors.initials: LG
authors.lastname: Krishna
authors.affiliation: Professor, CIO & SJH, India.
authors.forename: Davinder
authors.initials: D
authors.lastname: Singh
authors.affiliation: Senior Resident, CIO & SJH, India.
authors.forename: Pawan
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Assistant Professor, Department of Orthopaedics, LNJP, India.
authors.forename: Sumit
authors.initials: S
authors.lastname: Arora
authors.affiliation: Orthopaedics Specialist, India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Dhaka
keywords: Intra-articular calcaneal fracture; Locking calcaneal plate; Maryland foot score