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Year : 1997  |  Volume : 31  |  Issue : 1  |  Page : 41-44

Calcaneal Fractures In Children

Correspondence Address:
R. S Kulkarni

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Two hundred and sixty patiets of fracture calcaneus were treated conservatively with & without close reduction and early motion at Govt. Rural Hospital Deogad and Kudal over a period of ten years highlighting advantages ; 26 children below the age of 14 years who had sustained 28 calcanial fractures, are categorised as a separate group in this study. The long range follow up evaluation results are Excellent 18 (64.2), Good 8(28.5%), Fair 2(7.1%), Poor 0 (0%). Long term follow up of 2 to 6 years concluded that 92% children of fracture caleaneus had a total painless foot. Children below 10 years of age 22 (78.5%) who predominently had extra articular fracture patterns, illustrated that extra articular fractures are more characteristic feature of younger child – a possible reflection of less frequent mechanism of vertical compression loading in children and their ability to absorb compression loading. Initially unrecongnised calcanial fractures were frequent to the tune of 8 (28.5%) in the present series, suggesting that a high degree of suspicion should be present. In 7(25.8%) children the fracture was later revealed by healing callus radiologically. All (100%) children of unrecognised fractures were extra articular. Growth deformity was not seen in this series with long range follow up evaluation, as a sequel to the apophyseal injury. The mechanism of injury in this series of children 16 (57%) with that of adult series reiterated that the most common cause of injury was a fall from mango or coconut tree, in this south konkan west coast of Maharashtra. Associated other skeletal injuries were twice as frequent in children 14 (50%).

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