Minimally invasive surgery in OS Calcis Fracture: indications and results

Abstract

INTRODUCTION: Os calcis fractures are among one of the most difficult fractures to treat. Many of these fractures are the result of high energy trauma in heavy manual workers. Many of them could not go back to their original work because of various degrees of pain and stiffness. METHODS: From January 2007 till December 2007, Sanders II os calcis fractures were selected for operation with percutaneous screws fixation. After the operation, the patients were allowed to have free ankle mobilization exercise. 6-12 weeks of protected weight bearing walking was allowed followed by full weight bearing walking. Their x-rays, ankle range of movement and walking ability were assessed in regular interval. RESULTS: We have operated 14 os calcis fractures using percutaneous screws fixation in 12 patients. Their age ranged from 17 to 86. 8 were male and the other 4 were female. 4 patients had bilateral os calcis fractures. All fractures healed radiologically within 3 months. Some minor loss of initial reduction was seen. There were no major fractures. All fractures healed radiologically within 3 months. Some minor loss of initial reduction was seen. There were no major op. CONCLUSIONS: We concluded that percutaneous screws fixation was an excellent option for treating selected cases of os calcis fractures.