Calcaneal Angles And Postoperative Body Balance Following Internal Fixation

The goal of this observational cross sectionl study is to explore the correlation between Böhler angle and dynamic postural stability indices after calcaneal internal fixation.

• To explore the correlation between Böhler angle and fall risk index after calcaneal internal fixation.
• To explore the correlation between Gissane angle and dynamic postural stability indices after calcaneal internal fixation.
• To explore the correlation between Gissane angle and fall risk index after calcaneal internal fixation.
• To explore if Böhler angle can predict dynamic postural stability indices after calcaneal internal fixation.
• To explore if Böhler angle can predict fall risk index after calcaneal internal fixation.
• To explore if Gissane angle can predict dynamic postural stability indices after calcaneal internal fixation.
• To explore if Gissane angle can predict fall risk index after explore in calcaneal fracture post internal fixation both gender, (18-40) yr, The main questions it aims to answer are: • Will there be a significant correlation between Böhler angle and dynamic postural stability indices after calcaneal internal fixation?
• Will there be a significant correlation between Böhler angle and fall risk index after calcaneal internal fixation?
• Will there be a significant correlation between Gissane angle and dynamic postural stability indices after calcaneal internal fixation?
• Will there be a significant correlation between Gissane angle and fall risk index after calcaneal internal fixation?
• Will Böhler angle can significantly predict dynamic postural stability indices after calcaneal internal fixation?
• Will Böhler angle can significantly predict fall risk index after calcaneal internal fixation?
• Will Gissane angle can significantly predict dynamic postural stability indices after calcaneal internal fixation?
• Will Gissane angle can significantly predict fall risk index after calcaneal internal fixation?

Inclusion criteria

• Participants referred from orthopedic surgeon with calcaneal fracture treated with internal fixation.
• Adults aged 18-40 .
• Unilateral displaced intra-articular calcaneal fracture .
• Underwent internal fixation (plate/screws) .
• At least 1 years follow up postoperative .
• Able to stand independently.
• Both males and females.

Exclusion criteria

• Problems with cognition, vision, or any other medical issue that might compromise their ability to safely engage in the selected balancing measures should be avoided .
• Those with foot or ankle sensitivity loss and a systemic inflammatory illness, including diabetes mellitus, rheumatoid arthritis, or ankylosing spondylitis .
• Patients with vestibular or neurological disorders .
• Accompanying lower limb and spine fractures, which required internal fixation, talus fractures, thoracolumbar burst fractures, femur fractures, and tibia fractures), severe knee arthrosis, postoperative osteomyelitis of the calcaneus, and subtalar arthrodesis performed before this study because of subtalar arthrosis and pain .
• Patients who had lower limb dysfunction; and women who are pregnant and are in their lactation period .
• Refusal to give informed consent to participate in the study .
• Any associated fracture, bilateral fractures, associated peroneal tendon dislocation, postoperative wound breakdown and superficial or deep infection, age younger than .
• Calcaneal heel spur
• Foot deformity