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2021, Number 1

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Rev Med UAS 2021; 11 (1)

Functional evolution associated with the type of calcan fracture in patients with plate osteosynthesis. Prospective cohort study

López-Gonzalez JA, Duran-Carranza J, Lora-Fierro E, Dehesa-López E, Peraza-Garay FJ

Language: Spanish
References: 15
Page: 14-25
PDF size: 136.96 Kb.


ABSTRACT

Objective: Associate the functional evolution with the type of calcaneal fracture in patients with plaque osteosynthesis. Methodology: Prospective cohort study, post-operated patients, were analyzed through direct observation and AOFAS questionnaire five times. The distribution of quantitative variables of interest was established with the Kolmogorov-Smirnov test. The comparison of independent medians was carried out with the Mann-Whitney and Kruskal-Wallis U test. The Chi2 test compared proportions of dichotomous categorical variables. Results: The mean age was 44 (SD 11.2 years). The male sex predominated (n = 25, 78.1%). The most frequent Sanders was III and IV n = 12, 37.5% respectively. At 18 months, 25% had osteoarthritis (n = 8). In AOFAS, the mean pain was 38.1 (SD 3.9) and function 8.6 points (SD 1.69). Sanders IV showed 11.6 times more likely to go through poor AOFAS function (ro = 0.516, RR 11.66 1.94-70.17), this group was 26 times more likely to have osteoarthritis at 18 months (ro = 0.596, RR 26.6, 95% CI 2.6 -269.4, p = 0.001). Conclusions: It is believed that multifragmented calcaneal fractures are subastragaline arthrodes in the first instance, with this study we consider an excellent option to restore height and axial component with plaque osteosynthesis, avoiding biomechanical complications and malfunction Due to collapse and poor axial alignment, a good function was observed after one year of evolution despite the onset of osteoarthritis as a complication, it would be interesting to continue 3-4 years and assess the functional status.


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