Operative Management of Calcaneal Fractures using Mippo Technique

Introduction: Calcaneal fractures continues to be a topic of controversy in terms of the optimal management modality.Current study aimed to access the sinus tarsi approach for the fixation of calcaneal fractures in terms of radiological and functional results.Material and Methods: Study was conducted on 30 patients of both genders aged between 20 and 60 years with both joint depression and tongue type fractures, Sanders type 2 and type 3 fractures.Results: In our study, as per AOFAS Scale at 3 months, 19 (63.33%) calcaneum cases fell into the excellent group, 9 (30%) into good and 2(6.66%) into poor result group.The Mean ±SD AOFAS scale was 78.43±7.17(range 55-85).At 6 months, the result as per AOFAS scale showed further improvement with 28 (93.33%)calcaneum cases falling into the excellent group and 2 (6.66%) falling into the good result group.None of them fell in poor group at 6 months follow up.The Mean ±SD AOFAS scale was 90.03±5.24(range 74-95).Conclusion: Fixation with plate using MIPPO technique through sinus tarsi approach is an effective and safe method with good clinical and radiological results, for the treatment of calcaneal fractures; to achieve anatomical restoration under vision, stable fixation and early mobilization with minimal soft tissue complications.

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