title: Open Reduction and Internal Fixation of Displaced Calcaneum, Intra-Articular Fractures by Locking Calcaneal Plate.
abstract: BACKGROUND
  Calcaneal fractures constitute the most common fractures in hindfoot. Lots of controversies exist in the management of calcaneal fractures but now-a-days, it is preferable to perform open reduction and internal fixation and early mobilizatation.
  
  
  OBJECTIVE
  To evaluate the functional outcome after open reduction and internal fixation of displaced intra-articular fractures of the calcaneum by locking calcaneal plate.
  
  
  METHODS
  The study was conducted in the Department of Orthopaedic Surgery from September 2013 to April 2016. Thirty intra-articular fractures of the calcaneum were treated by locking calcaneal plate. Patients were followed up for a period of 24 months. Bohler's angle was measured in preoperative, immediate Post-operative period and after 2 years, follow-up was compared. Results were evaluated according to American Orthopaedic Foot and Ankle Society (AOFAS) Score.
  
  
  RESULTS
  After 24 months of follow-up, all 24 patients were available for evaluation. Radiological union was achieved in a mean time of 12.5 weeks. Mean duration of hospital stay was 21 days. Bohler's angle was significantly higher after 2 years of follow-up when compared with preoperative x-ray. According to the AOFAS, Ankle-Hind foot Scale outcome score results were excellent in 43.3% of the patients, good in 33.3%, fair in 10%, and poor in 13.3% of patients. The mean AOFAS score was 79.9 (Range 49-96).
  
  
  CONCLUSIONS
  Open reduction and internal fixation of intra-articular fractures of the calcaneum with locking calcaneal plate gives good results. Maintenance of calcaneal height and Bohler's angle helps to decrease the incidence of subtalar arthritis.
authors.affiliation: Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.lastname: Santosha
authors.affiliation: Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.forename: Shams
authors.initials: S
authors.lastname: Gulrez
authors.affiliation: Professor, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.forename: Arambam Mahendra
authors.initials: AM
authors.lastname: Singh
authors.affiliation: Associate Professor, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.forename: Sanjib
authors.initials: S
authors.lastname: Waikhom
authors.affiliation: Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.forename: Vishal
authors.initials: V
authors.lastname: Pakhrin
authors.affiliation: Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.forename: Sagnik
authors.initials: S
authors.lastname: Mukherjee
authors.affiliation: Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.forename: Rajkumar
authors.initials: R
authors.lastname: Debbarma
authors.affiliation: Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
authors.forename: Prabhu Shrinivas
authors.initials: PS
authors.lastname: Prashant
keywords: American orthopaedic foot and ankle society; Bohler’s angle; Calcaneal fractures