Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively

Introduction: Calcaneal fractures are caused by high energy trauma and mostly are intra-articular fractures. Nondisplaced intra-articular calcaneal fracture (IACF) can be treated non-operatively. However, displaced intra-articular need to be reduced and fixed anatomically to facilitate early ankle r...

Descripción completa

Detalles Bibliográficos
Autores principales: Nawfar, SA, Chan, KL, Idham, HM, Izani, IM, Nahulan, T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Malaysian Orthopaedic Association 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5393128/
https://www.ncbi.nlm.nih.gov/pubmed/28611903
http://dx.doi.org/10.5704/MOJ.1511.001
_version_ 1783229543043039232
author Nawfar, SA
Chan, KL
Idham, HM
Izani, IM
Nahulan, T
author_facet Nawfar, SA
Chan, KL
Idham, HM
Izani, IM
Nahulan, T
author_sort Nawfar, SA
collection PubMed
description Introduction: Calcaneal fractures are caused by high energy trauma and mostly are intra-articular fractures. Nondisplaced intra-articular calcaneal fracture (IACF) can be treated non-operatively. However, displaced intra-articular need to be reduced and fixed anatomically to facilitate early ankle rehabilitation and minimize functional impairment. This study was done to find out the outcome of the IACF patients who underwent operative treatment. Methods: 62 patients with IACF were selected in this study and had been followed up from June 2009 to May 2013. They were placed into two groups; the operative treated and non-operative treated groups. Bilateral ankle lateral view plain radiographs were taken for comparison of the Bohler and Gissane angles. Both groups of patients were assessed by the Maryland Foot Score (MFS) and the SF-36v2 general health survey questionnaire. The ability of the patients to perform activity of daily living (ADL) and /or return to work (RTW) was assessed as well. Results: The operative treatment group of displaced IACF patients achieved no significant better scores in the mean MFS and SF-36v2 mean scores as compared to non operated cases. There was no difference in RTW between the 2 groups, but earlier ADL was recorded in the operated group. However, this study had found 5 associated factors which causes major effect to the patients’ outcome to treatment. Conclusions: The patient’s compliance with post-operative rehabilitation regimen were found to be significantly related with the outcomes.
format Online
Article
Text
id pubmed-5393128
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Malaysian Orthopaedic Association
record_format MEDLINE/PubMed
spelling pubmed-53931282017-06-13 Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively Nawfar, SA Chan, KL Idham, HM Izani, IM Nahulan, T Malays Orthop J Original Article Introduction: Calcaneal fractures are caused by high energy trauma and mostly are intra-articular fractures. Nondisplaced intra-articular calcaneal fracture (IACF) can be treated non-operatively. However, displaced intra-articular need to be reduced and fixed anatomically to facilitate early ankle rehabilitation and minimize functional impairment. This study was done to find out the outcome of the IACF patients who underwent operative treatment. Methods: 62 patients with IACF were selected in this study and had been followed up from June 2009 to May 2013. They were placed into two groups; the operative treated and non-operative treated groups. Bilateral ankle lateral view plain radiographs were taken for comparison of the Bohler and Gissane angles. Both groups of patients were assessed by the Maryland Foot Score (MFS) and the SF-36v2 general health survey questionnaire. The ability of the patients to perform activity of daily living (ADL) and /or return to work (RTW) was assessed as well. Results: The operative treatment group of displaced IACF patients achieved no significant better scores in the mean MFS and SF-36v2 mean scores as compared to non operated cases. There was no difference in RTW between the 2 groups, but earlier ADL was recorded in the operated group. However, this study had found 5 associated factors which causes major effect to the patients’ outcome to treatment. Conclusions: The patient’s compliance with post-operative rehabilitation regimen were found to be significantly related with the outcomes. Malaysian Orthopaedic Association 2015-11 /pmc/articles/PMC5393128/ /pubmed/28611903 http://dx.doi.org/10.5704/MOJ.1511.001 Text en © 2015 Malaysian Orthopaedic Association (MOA). All Rights Reserved http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Nawfar, SA
Chan, KL
Idham, HM
Izani, IM
Nahulan, T
Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively
title Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively
title_full Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively
title_fullStr Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively
title_full_unstemmed Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively
title_short Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively
title_sort outcome determining factors for displaced intra-articular calcaneal fractures treated operatively
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5393128/
https://www.ncbi.nlm.nih.gov/pubmed/28611903
http://dx.doi.org/10.5704/MOJ.1511.001
work_keys_str_mv AT nawfarsa outcomedeterminingfactorsfordisplacedintraarticularcalcanealfracturestreatedoperatively
AT chankl outcomedeterminingfactorsfordisplacedintraarticularcalcanealfracturestreatedoperatively
AT idhamhm outcomedeterminingfactorsfordisplacedintraarticularcalcanealfracturestreatedoperatively
AT izaniim outcomedeterminingfactorsfordisplacedintraarticularcalcanealfracturestreatedoperatively
AT nahulant outcomedeterminingfactorsfordisplacedintraarticularcalcanealfracturestreatedoperatively