COMPARATIVE OF FUNCTIONAL AND RADIOGRAPH OUTCOMES FOR COMMINUTED CALCANEUM FRACTURES, CONSERVATIVELY TREATED AND SURGICAL OSTEOSYNTHESIS BY ANATOMICAL PLATE

Tawfik Alhallak*, Giath Halom and Ma3n Sa3d

ABSTRACT

Background: The Ankel is supporting bone that bears 70% of the body weight Due to the prevalence of calcaneus fractures and the need to improve and compare the results of conservative and surgical treatment in cases of comminuted fractures type III + IV. To make the footsteps comfortable, supportive and painless. The difficulty of treating these fractures in terms of restoring the normal anatomy (length, axis, defective union / angulation or rotation). The length of the hospitalion period and the accompanying unemployment and lack of production. There are many ways to treat it, which makes finding the best way to treat it a matter of debate. the frequency of accompanying complications increases the recovery period and also increases the cost of treatment. Research aim: Primary objective: Our study aimed to improve the functional outcomes of comminuted calcaneal fractures, by comparing the functional and radiographic outcomes of Sanders III+IV fractures treated conservatively or surgically with an anatomic plate. Secondary objective: To study the short-term and long-term complications of both methods. Materials and methods: A retrospective cohort study will be conducted on patients with comminuted calcaneal fractures type III+IV, who visited the emergency department at Tishreen University Hospital during the years 2019- 2020-2021-2022-2023. A special form was organized for each patient and after accepting adult patients of both sexes who met the admission criteria. A full assessment of the patient was conducted in terms of the mechanism of injury, general condition, accompanying injuries, neurovascular examination, and necessary diagnostic procedures, and his data was recorded in the form. Patients with comminuted calcaneal fractures were distributed according to the treatment method used into two groups: The first group: includes patients whose fracture was fixed conservatively (splint)The second group: includes patients whose fracture was fixed with an anatomical plate. A simple radiograph was performed at the time of admission in order to establish the diagnosis in at least the anterior-posterior and lateral positions, as well as immediately after the surgical operation, and then at each visit. A posterior splint was placed from the metatarsal heads to the middle of the leg and ankle at an angle of (90) degrees for patients in the second group and was removed after two weeks when the stitches were removed.

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