An outcomes assessment of intra-articular calcaneal fractures, using patient and physician's assessment profiles.

Hdl Handle:
http://hdl.handle.net/10147/208977
Title:
An outcomes assessment of intra-articular calcaneal fractures, using patient and physician's assessment profiles.
Authors:
Kennedy, J G; Jan, W M; McGuinness, A J; Barry, K; Curtin, J; Cashman, W F; Mullan, G B
Affiliation:
Department of Orthopaedic Surgery, Cork University Hospital, Wilton, Cork,, Ireland. jgk1@hotmail.com
Citation:
Injury. 2003 Dec;34(12):932-6.
Journal:
Injury
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208977
PubMed ID:
14636738
Abstract:
Thirty-six patients with intra-articular displaced calcaneal fractures were examined to determine both physician- and patient-based outcomes. Three groups were selected. Group A was treated with open reduction and internal fixation, group B was treated with open reduction internal fixation and supplemental bone graft augmentation and the patients in group C were treated with plaster cast immobilisation and no formal operative treatment. All cohorts were well matched for age, sex and severity of injury. Patients were evaluated using both the American Foot and Ankle Society Scoring System (AFASS) and the short form 36 (SF-36). Minimum time to follow up was 4 years. No significant difference was observed between the three groups with regards to pain and functional outcomes using the AFASS score (P>0.05). No difference was observed between the three groups using the SF-36 score (P>0.1). A statistically significant difference was observed, using radiological criteria, between both groups A and B when compared to the non-operative group C. The rate of wound infection in groups A and B was 31.5%. No correlation was found between the SF-36 score and the AFASS score. No correlation was found between the radiological score and either the SF-36 or the AFASS score. This study has found that the conservative treatment of calcaneal fractures can produce satisfactory outcomes with lower morbidity than surgically treated fractures.
Language:
eng
MeSH:
Adolescent; Adult; Ankle Injuries/*surgery/therapy; Calcaneus/*injuries/surgery; Casts, Surgical; Chi-Square Distribution; Combined Modality Therapy; Female; Femur Head/transplantation; Fracture Fixation/*methods; Fracture Fixation, Internal/methods; Fractures, Bone/*surgery/therapy; Humans; Immobilization; Male; Middle Aged; Regression Analysis; Retrospective Studies; Surgical Wound Infection; Transplantation, Homologous; Treatment Outcome
ISSN:
0020-1383 (Print); 0020-1383 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKennedy, J Gen_GB
dc.contributor.authorJan, W Men_GB
dc.contributor.authorMcGuinness, A Jen_GB
dc.contributor.authorBarry, Ken_GB
dc.contributor.authorCurtin, Jen_GB
dc.contributor.authorCashman, W Fen_GB
dc.contributor.authorMullan, G Ben_GB
dc.date.accessioned2012-02-03T15:08:59Z-
dc.date.available2012-02-03T15:08:59Z-
dc.date.issued2012-02-03T15:08:59Z-
dc.identifier.citationInjury. 2003 Dec;34(12):932-6.en_GB
dc.identifier.issn0020-1383 (Print)en_GB
dc.identifier.issn0020-1383 (Linking)en_GB
dc.identifier.pmid14636738en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208977-
dc.description.abstractThirty-six patients with intra-articular displaced calcaneal fractures were examined to determine both physician- and patient-based outcomes. Three groups were selected. Group A was treated with open reduction and internal fixation, group B was treated with open reduction internal fixation and supplemental bone graft augmentation and the patients in group C were treated with plaster cast immobilisation and no formal operative treatment. All cohorts were well matched for age, sex and severity of injury. Patients were evaluated using both the American Foot and Ankle Society Scoring System (AFASS) and the short form 36 (SF-36). Minimum time to follow up was 4 years. No significant difference was observed between the three groups with regards to pain and functional outcomes using the AFASS score (P>0.05). No difference was observed between the three groups using the SF-36 score (P>0.1). A statistically significant difference was observed, using radiological criteria, between both groups A and B when compared to the non-operative group C. The rate of wound infection in groups A and B was 31.5%. No correlation was found between the SF-36 score and the AFASS score. No correlation was found between the radiological score and either the SF-36 or the AFASS score. This study has found that the conservative treatment of calcaneal fractures can produce satisfactory outcomes with lower morbidity than surgically treated fractures.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAnkle Injuries/*surgery/therapyen_GB
dc.subject.meshCalcaneus/*injuries/surgeryen_GB
dc.subject.meshCasts, Surgicalen_GB
dc.subject.meshChi-Square Distributionen_GB
dc.subject.meshCombined Modality Therapyen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFemur Head/transplantationen_GB
dc.subject.meshFracture Fixation/*methodsen_GB
dc.subject.meshFracture Fixation, Internal/methodsen_GB
dc.subject.meshFractures, Bone/*surgery/therapyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshImmobilizationen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshRegression Analysisen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSurgical Wound Infectionen_GB
dc.subject.meshTransplantation, Homologousen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titleAn outcomes assessment of intra-articular calcaneal fractures, using patient and physician's assessment profiles.en_GB
dc.contributor.departmentDepartment of Orthopaedic Surgery, Cork University Hospital, Wilton, Cork,, Ireland. jgk1@hotmail.comen_GB
dc.identifier.journalInjuryen_GB
dc.description.provinceMunster-

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