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International Patient CareCalcaneus Fractures Surgery by Expert Orthopedics
At Medicover Hospitals, our orthopaedic team, with qualifications like MS, DNB, and fellowships, expertly handles calcaneus fractures using open surgical techniques. This approach ensures precise fracture alignment and stabilisation, often resulting in shorter hospital stays for patients across India.
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What is Calcaneus Fractures?
Calcaneus fractures refer to breaks in the calcaneus (heel bone). This bone is located at the back of the foot and forms the heel. It plays a crucial role in walking and weight-bearing. Fractures can vary from minor cracks to severe breaks affecting the bone's shape and function.
Surgery is often needed to repair calcaneus fractures. These fractures usually occur due to high-impact injuries like falls or car accidents. If untreated, they can lead to chronic pain, arthritis, and difficulty walking. Modern surgical approaches include open reduction and internal fixation (ORIF) and minimally invasive techniques. These methods aim to restore the bone's shape and function. Early treatment can prevent long-term complications.
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Complete Guide To Calcaneus Fractures
Everything you need to know about the procedure, preparation, and recovery
Calcaneus Fractures Surgery Indications
Doctors may recommend surgery for calcaneus fractures when the injury is severe or when non-surgical treatments do not provide relief. Surgery is often considered to restore the normal shape and function of the heel bone.
Severe Displacement
Patients may experience intense heel pain and swelling. X-rays or CT scans show significant misalignment of the bone fragments. Surgery is advised when the displacement affects the foot's function and alignment.
Open Fractures
These fractures involve a break in the skin, leading to visible bone and increased infection risk. Immediate surgical intervention is required to clean the wound and repair the fracture.
Joint Involvement
Patients often report difficulty walking and severe pain. Imaging reveals that the fracture extends into the subtalar joint. Surgery is needed to prevent long-term joint issues and restore mobility.
Failure of Conservative Treatment
Persistent pain and swelling may continue despite rest, ice, compression, and elevation. If symptoms do not improve with immobilization and physical therapy, surgery becomes necessary.
Chronic Instability
Some patients experience ongoing instability and difficulty bearing weight. Imaging may show improper healing or alignment. Surgery is considered to stabilize the foot and improve function.
How to Prepare for Calcaneus Fractures?
Proper preparation is crucial for a successful recovery from calcaneus fracture surgery. It helps minimise complications and ensures a smoother healing process.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements at least a week before surgery.
- Fasting Guidelines: Follow a fasting period of 8 hours before surgery if general anaesthesia is used.
- Pre-Surgery Hygiene: Clean the surgical area thoroughly as instructed by your healthcare provider.
- Comfortable Clothing: Wear loose-fitting clothes on the day of surgery for comfort and ease of dressing.
- Transportation Arrangements: Arrange for someone to drive you home post-surgery as you will not be able to drive yourself.
- Medication List: Bring a list of all medications you are currently taking, including dosages, for the medical team.
- Home Preparation: Prepare your home for limited mobility by setting up a comfortable resting area and removing obstacles.
- Smoking and Alcohol: Avoid smoking and alcohol consumption as they can hinder the healing process.
Calcaneus Fractures Surgery (Step-by-Step)
Overview: This surgery is performed by orthopaedic surgeons. The procedure typically lasts 2 to 3 hours. It is usually done under general anaesthesia.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure comfort and pain-free surgery.
- Incision: A lateral incision of about 5-10 cm is made on the outer side of the heel. This provides access to the fractured area.
- Exposure and Cleaning: The surgeon uses a curette to clean the fracture site. This removes any debris and prepares the bone for repair.
- Reduction: The fractured bone fragments are realigned to their normal position. This is crucial for proper healing and function.
- Fixation: Metal plates and screws are used to hold the bone fragments together. This stabilizes the fracture and aids in healing.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
- Recovery: The patient is moved to the recovery room. Vital signs are monitored as the anaesthesia wears off.
Who Performs Calcaneus Fractures Surgery?
Calcaneus fractures surgery is performed by orthopaedic surgeons. These specialists are trained in diagnosing and treating bone injuries. They use their expertise to ensure the best possible outcomes for patients. Please contact the hospital for current details as insurance panels may change.
Recovery After Calcaneus Fractures Surgery
Recovering from calcaneus fractures surgery requires patience and adherence to medical advice. Expect gradual improvements as you follow your recovery plan. Here's a timeline to guide you through the process.
Day 1-3:
- Rest and elevate your foot to reduce swelling.
- Ice packs may be used to manage pain and swelling.
- Follow prescribed pain medication schedule.
Day 4-7:
- Continue resting and elevating your foot.
- Begin gentle toe movements to prevent stiffness.
- Maintain a balanced diet with foods like curd, dal-rice, and soups to aid healing.
Week 2-4:
- Gradually increase foot movements as advised by your doctor.
- Use crutches to avoid weight-bearing on the affected foot.
- Include protein-rich foods like moong dal and khichdi in your diet.
Phase 1 (Month 1-2):
- Start physical therapy exercises to regain strength and mobility.
- Continue avoiding full weight-bearing activities.
- Return to work or school may be possible with limited mobility, depending on your job or study requirements.
Phase 2 (Month 3-6):
- Gradually increase weight-bearing activities as tolerated.
- Continue physical therapy to improve function.
- Regular follow-ups with your doctor to monitor progress.
When to Seek Urgent Help:
- Severe pain not relieved by medication.
- Signs of infection like redness, warmth, or pus at the incision site.
- Numbness or tingling in the foot.
- Sudden swelling or inability to move toes.
Benefits of Calcaneus Fractures Surgery
Calcaneus fractures surgery aims to restore foot function and alleviate pain. It can significantly improve mobility and quality of life.
- Pain Relief: Surgery can reduce or eliminate pain caused by the fracture.
- Improved Mobility: Restores the ability to walk and perform daily activities.
- Corrects Deformity: Helps in realigning the heel bone to its normal position.
- Prevents Arthritis: Reduces the risk of developing arthritis in the foot.
Risks and Complications of Calcaneus Fractures Surgery
While surgery can be beneficial, it carries potential risks and complications. Understanding these can help in making informed decisions.
Common Risks
- Infection (Common):Risk of infection at the surgical site.
- Non-union (Common):The fracture may not heal properly.
- Chronic Pain (Common):Persistent pain even after healing.
- Stiffness (Common):Reduced flexibility in the foot.
Rare Risks
- Nerve Damage (Rare): Possibility of nerve injury leading to numbness or tingling.
- Blood Clots (Rare): Risk of developing clots in the legs.
Cost of Calcaneus Fractures Surgery
The cost of Calcaneus Fractures Surgery at Medicover Hospitals ranges from ₹75,000 to ₹1,60,000 for outpatient services to Rs.144000 for suite (VVIP) accommodations. The price varies depending on the ward category chosen, ensuring options that fit different needs and budgets.
Medicover Hospitals offers transparent pricing with support for insurance and TPAs, including CGHS, ESI, and major TPAs. A cashless facility is also available for added convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Calcaneus Fractures surgery cost at Medicover Hospitals?
The cost ranges from ₹75,000 to ₹1,60,000 across Medicover Hospitals, depending on the type of care and accommodation chosen.
2. Is Calcaneus Fractures surgery covered under health insurance at Medicover?
Calcaneus Fractures surgery may be covered by CGHS, ESI, and major TPAs, offering cashless options. Please contact the hospital for current panel details.
3. Will I need a cast after Calcaneus Fractures surgery?
Yes, a cast is typically required to immobilize the heel bone and aid in proper healing. The duration varies based on the fracture's severity.
4. Can I walk immediately after Calcaneus Fractures surgery?
Walking is usually restricted for several weeks post-surgery to allow the heel bone to heal properly. A gradual return to weight-bearing is advised.
5. What footwear should I use after Calcaneus Fractures surgery?
Supportive footwear with good cushioning is recommended to protect the heel bone during recovery. Avoid high heels and opt for comfortable shoes.
6. Is swelling common after Calcaneus Fractures surgery?
Swelling is a common occurrence post-surgery and can last for several weeks. Elevating the foot and using ice packs can help reduce it.
7. Will I experience long-term pain after Calcaneus Fractures surgery?
Some patients may experience lingering pain or discomfort, especially with activity. Physical therapy can help improve function and alleviate pain over time.
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