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Management of calcaneus fractures treated with lambda plate, Luis Vernaza General Hospital, 2014-2016

Abstract:

Antecedents: Currently the calcaneal fracture represents 60% of fractures of the tarsal fractures and 2% of all fractures. Considering the fact that this is a rare problem both in our country and worldwide, it is considered of great importance to provide information on its initial management, mechanism of injury, classification, complications and treatment services. Materials and methods: A retrospective, observational and descriptive study was performed, with the patients that entered the Orthopedics and Traumatology service from 2014 to June, 2016 that presented intra-articular calcaneal fracture and that were treated with a Lambda plate fixation. Maryland scale was used for functional assessment. Results: The total number of patients with calcaneal fracture was 34; four patients were excluded because they either had open fractures (n=2) or non-articular ones (n=2). The study was comprised of 30 patients, 90% men and 10% women with a mean age of 30 years. The most common mechanism of injury was fall from a high place (87%) and traffic accidents (13%). In 57% of the cases, the right side was the one affected whilst in 43% the left side was the one affected. 84% of the patients presented a good evolution. Conclusions: Intra-articular calcaneal fractures should be treated with open reduction and internal fixation and subsequent follow-up with Maryland functional scale with which satisfactory results were obtained.