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

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    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
    Issue Date
    2012-02-03T15:08:59Z
    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
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    Citation
    Injury. 2003 Dec;34(12):932-6.
    Journal
    Injury
    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
    ISSN
    0020-1383 (Print)
    0020-1383 (Linking)
    Collections
    Cork University Hospital

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