Publication

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

Kennedy, J G
; 
Jan, W M
; 
McGuinness, A J
; 
Barry, K
; 
Curtin, J
; 
Cashman, W F
; 
Mullan, G B
Author
Kennedy, J G
 Jan, W M
 McGuinness, A J
 Barry, K
 Curtin, J
 Cashman, W F
 Mullan, G B
Advisors
Editors
Other Contributors
Departments
Department of Orthopaedic Surgery, Cork University Hospital, Wilton, Cork,, Ireland. jgk1@hotmail.com
Date
2012-02-03T15:08:59Z
Date Submitted
Keywords
Other Subjects
Subject 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
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
URI
https://hdl.handle.net/10147/208977
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
Citation
Injury. 2003 Dec;34(12):932-6.
ISSN
0020-1383 (Print)
0020-1383 (Linking)
eISSN
ISBN
DOI
PMID
14636738
PMCID
Sponsorships
Funding Sources
Funding Amounts
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Methodology
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Ethical Approval