الفهرس 
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Abstract
Our present study was conducted in the department of Orthopedics, sohag university hospital,SohagUniversityduring the period between December 2013 and July 2014.
Fifteen patients of calcaneal fractures managed operatively either by ORIF or by closed reduction and K-wire fixation during the course of the study were sorted and each was followed for at least 6 months.
Follow up of all patients were carried out regularly with clinical and radiological assessment till 6 months postoperatively. The data thus collected from patients was analyzed, evaluated and the observations were recorded.
Our aim was to evaluate the results of ORIF versus percutaneous pinning for treating displaced intra articular calcaneal fractures.
All the patients were examined clinically and radiological.
Patients fulfilling the inclusion criteria was only included in the study.
Mean age in years for all patient was 27 years.
There was a male preponderance in our patients. A male to female ratio in all patients was about 4:1.
Most common mode of injury was falling from hight and less common motor vehicle accident.
In this study, we have 6 cases treated by ORIF , 8 cases treated by
Closed reduction and K-wire fixation.
Majority of patients in present study series were operated within 7 days following admission in hospital.
Superficial would infection was seen in one caseoperated by open reduction and calcaneal plate.
No cases need Revision post operatively.
No implant related intra operative complications were noted.
Only one case was having deep infection and exposed plate and was treated by plate removal and depridement .
Average time of fracture union: Average time of union in all our 15 patients was about 6weeks. (Range:4 to 8 weeks).
Range of Movement:
(As per American Foot & Ankle Score ) The range of motion that is dorsiflexion, planer flxion, inversion and eversion were good to excellent in most of the cases. The poor range of motion was attributed to the poor compliance of the patients for regular physiotherapy and also in some cases due poor reduction achieved at the time of surgery thus not getting the best possible result.
CONCLUSION
In the present study which was carried out in sohag university hospitals, faculty of medicine,Sohag university from january2014 to December 2014.
However, the treatment of Intra articular calcaneal fractures remains a controversial issue.
In this study an attempt was made to compare ORIF with closed reduction and percutaneous pinning in treatment of Intra articular calcaneal fractures.
Fifteen patients with displaced intraarticular calcaneal fractures were included. There were 6 patients operated by calcaneal plate and9 patients operated by closed reduction & k-wire.
Calcaneal fractures should be evaluated carefully. The treatment of calcaneal fractures must be planned according to different factors such as type of trauma, classification of the fracture, skin condition, associated comorbidities andinjury mechanism.
Most of recent study shows that open reduction and internal fixation has better outcome in selected patients. In conclusion; Good evaluation, preoperative planning and appropriate treatment bring out better results.
No significant difference in pain and functionaloutcome between the closed and open treatment.
However,careful operative patient selection will minimize complications and lessen need for late subtalararthrodesis.
In our study , No significant difference could be found regarding time to union and range of motion between either the ORIF and percutaneous fixation group.