Comparison of Two Different Lateral Incisions for Postoperative Surgical Wound Condition of Calacaneum Fractures-A Randomised Study of Closed Intra Articular Joint Depression Type of Calcaneal Fractures Treated with Locking Plate in 58 Non Smokers Patient

INTRODUCTION Calcaneum fractures contribute to majority of fractures affecting adult foot. The frequent mode of trauma is fall from height. Closed joint depression type of calcaneum fractures are managed by open reduction and internal fixation using calcaneum plate from lateral approach. MATERIALS AND METHOD 58 Closed joint depression type of calcaneum fractures in non smoker patients were randomized into two groups A and B. Group A patient were subjected to conventional modified Kochers incision (extensile lateral) and B group patients were subjected to Seligsons approach. All patients were followed for wound conditions on 3rd, 6th, 9th and so on postoperative days till 3 months. RESULTS Out of 29 patients in group A, 9 developed superficial surgical skin necrosis and one of 29 patients in group B developed superficial surgical skin necrosis which is statistically significant. CONCLUSION Seligsons incision is better for behavior of surgical wound conditions postoperatively than standard extensile lateral incision in open reduction of calcaneum through lateral approach.