Calcaneal fractures: An audit of radiological outcome.

OBJECTIVE To assess radiological outcome of management of calcaneal fractures. METHODS The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised data of calcaneal fractures managed between February , 2008 and February, 2014 Cases were identified through medical records, and X-rays were reviewed through digital radiology archive. Bohler\'s angle, Gissane\'s angle, calcaneal height and width were assessed digitally on pre-operative and post-operative X-ray images. RESULTS Of the27 patients, only 1(3.7%) was female. The cause of fracture was fall from height 15(56%), road traffic accidents 7(26%) and bomb blasts5(19%). Tongue type fractures were 16(59%) and 11(41%) were joint depression type. There was a significant mean increase in Bohler\'s angle (p<0.001) and mean decrease in calcaneal width (p=0.023). Gissane\'s angle and calcaneal height increased marginally (p> 0.05 each). CONCLUSIONS Measurable improvement in anatomical parameters is possible with surgery, which is a prerequisite for good functional results.