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Indian Journal of Orthopaedics Surgery


Management of Tongue Shaped Intra-Articular Calcaneal Fracture with Essex Lopresti Technique


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Author Details: Devendrappa. H, Santosh, Prabhanjan Kumar

Volume : 2

Issue : 1

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 115

Article End Page : 118


Abstract

Background: Calcaneum fractures account for 2% all fractures. Intra-articular fractures account for approximately 75% of calcaneal fractures and historically have been associated with poor functional outcome. These fractures are uniformly caused by an axial load mechanism, such as a fall from Height or a motor vehicle accident. The current preference in the surgical treatment of calcaneus fractures is open reduction and internal fixation. However, there were some unsatisfactory results from this technique such as flap necrosis, deep infection and non-union. In selected cases, it is possible to obtain reduction with a percutaneous approach with the Essex-Lopresti Technique using an axial pin. The technique of closed reduction and percutaneous fixation was introduced by Westheus and popularized by Gissane. But the credit for describing the technique goes to Essex-Lopresti. The effectiveness of this technique in the restoration of Böhler’s angle and calcaneal height in tongue shaped is well documented.
Aim: To evaluate the outcome of Essex Lopresti technique in intraarticular tongue shaped calcaneal fractures.
Material and Methods: 20 patients with tongue shaped intraarticular calcaneum fractures were admitted and treated with closed reduction and pin fixation (Essex Lopresti technique) in vijayanagar institute of medical sciences, Bellary. Patients follow up done for 1year. Outcome of the study was evaluated using Creighton Nebraska Health Foundation Assessment sheet for calcaneum fractures.
Results: Incidence was common in 30 to 45years old male patient with most common mechanism of injury being fall from height. 20% of the patients were associated with other side communited calcaneum fracture and 30% patient were with other bones fracture. 80% of patient had good results and 20% had fair result with no poor results.
Conclusion: Essex Lopresti technique is effective technique for tongue shaped intraarticular calcaneum fractures with excellent outcome and acceptable complications.