Functional outcome of close reduction and internal fixation by C-C screw or Steinmann pin fixation of fracture calcaneum

Abstract

Abstract Background: Fracture of calcaneum results in serious and prolonging disability. Considering the high rate of malunion and severe loss of function, it will be better to choose open reduction and internal fixation as a primary mode of treatment for calcaneum fractures. Materials and Methods: This study consists of 45 fractures of calcaneum treated by using close reduction and internal fixation and subtalar arthrodesis. Of the 45 fractures, 16 (35.56%) were treated by using the C-C screw within 2 weeks of injury and 29 (64.44%) were treated by using the percutaneous k-wire or Steinmann pin or C-C screw. Results: At the final follow-up, the mean AO foot and ankle score score of the patients was 89.28 with P value ≤ 0.0001. Conclusion: Early motion prevents stiffness of subtalar joint and ankle joint and leads to early function and psychological rehabilitation. Close reduction and internal fixation by using the C-C screw or Steinmann pin is a safe and effective method for treating displaced intra-articular fracture of calcaneum.