Open Reduction and Internal Fixation for Displaced Intra-Articular Fractures of the Calcaneum

We have treated displaced intra-articular fractures of the calcaneum by open reduction through a lateral approach, stable internal fixation and bone grafting. All cases were done in Saudi-German hospital, KSA. We assessed the results at a mean follow-up of 21 months in 14 patients.Clinical assessment using the scoring system of Crosby and Fitzgibbons and radiological measurements were made from lateral, axial and internal oblique views. The articular congruity of the subtalar joint and any arthritic changes were also assessed.We found average good results in the operated group with respect to pain, range of movement, return to work and swelling of the hind foot. Radiologically, our group showed good scores for articular congruity and arthritic changes. We conclude that the operative treatment of displaced intra-articular fractures of the calcaneum gives average good medium-term results.