Comparison of the efficacy of surgical and non-surgical treatments in intra-articular calcaneal fracture
نویسندگان
چکیده مقاله:
Calcaneal fracture accounts for 2% of all fractures and is the most common tarsal fracture. Regarding this, the present study was conducted to determine and compare the surgical and non-surgical treatments in adult patients with calcaneal fractures in terms of outcomes, patients’ satisfaction level, and complications. This clinical trial was conducted on 63 patients with intraarticular fractures of calcaneus referring to the educational centers of Mazandaran University of Medical Sciences, Mazandaran, Iran, to assess the surgical and non-surgical methods. The patients’ satisfaction level with the treatment was estimated based on the visual analog scale. In addition, pain, function, and organ alignment were evaluated by using the American Orthopedic Foot and Ankle Society Hind Foot Score (AOFAS). Out of the 63 patients, 26 (41.3%) and 37 (58.7%) cases were in the surgical and non-surgical groups, respectively. The mean score of AOFAS was obtained as76.35± 17.19 (out of 0-100) with the minimum and maximum values of 22 and 100, respectively. The results revealed no significant difference between two treatment groups in terms of mean AOFAS. As the findings of the present study indicated, the surgical and non-surgical methods in patients with Essex grades III and IV calcaneal fractures did not affect their satisfaction after treatment and improvement. Therefore, given the higher number of the surgical treatment complications, it is recommended to adopt the non-surgical treatments.
منابع مشابه
Surgical treatment of displaced intra-articular calcaneal fracture using a single small lateral approach
The objective of this study was to evaluate the outcome of semi-open reduction and minimal internal fixation through a single small lateral approach as a minimally invasive technique for treatment of displaced intra-articular calcaneal fractures. This prospective study was conducted on eighteen patients (16 men and 2 women). The average age was 37.7 (22-55). The most common cause of injury was ...
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Surgical treatment of articular calcaneal fractures.
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15 صفحه اولPercutaneous fixation of displaced intra-articular calcaneal fracture.
Operative treatment modalities for calcaneal fracture are still controversial. The outcome of intra-articular calcaneal fracture is mainly influenced by the soft tissue and the subtalar joint. Percutaneous method of internal fixation has been attempted to avoid the problems. Patients with displaced intra-articular calcaneal fracture types IIA, IIB and IIC were treated by initial distraction of ...
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عنوان ژورنال
دوره 1 شماره 1
صفحات 36- 40
تاریخ انتشار 2019-03
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