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2023, Number 3

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Ortho-tips 2023; 19 (3)

Functional outcomes of surgical and conservative management of patients with calcaneal fracture

Quiroz-Williams J, Gaytán-Fernández S, Barragán-Hervella RG, Reyes-García D, Marín-Monterrosas M, Ramírez-Polanco A, Cruz-Ricardez JA

Language: Spanish
References: 19
Page: 140-146
PDF size: 212.52 Kb.


ABSTRACT

Introduction: the calcaneal fracture represents one of the fractures that most cause functional limitation disability in the workplace, as it is an articular fracture. Management has been controversial, but in general there is a greater trend towards surgical treatment. Objective: to describe the functional outcome of calcaneus fractures treated conservatively as well as surgically. Material and methods: observational, descriptive, longitudinal study, in a population older than 18 years, with calcaneal fracture, treated conservatively or surgically: Essex-Lopresti (EL), cannulated screws (TC) and anatomical plate (PA). Functional results were assessed with the AOFAS scale at 3 and 6 months. For statistical analysis, the Chi square test was used. The significant statistical value p < 0.05. Results: 47 patients. 25.5% bilateral, 34% right and 40.4% left. Functionally with AOFAS 3 months, excellent results 33.3% TC. Good 42.8% PA. Regular EL 20.8%, 28.6% PA and 15.4% plaster. Bad, 54.2% EL, 33.3% TC, 28.6% PA and 53.8% plaster (P=0.773). 6 months, excellent 33.3% CT. Good 33.3% TC, 28.6% PA. Regular 41.6% EL, 33.3% PA and 14.3% plaster. Bad 20.8% EL, 33.3% TC, 28.6% PA and 23.1% plaster. Conclusions: calcaneal fracture with joint involvement has better functional results with surgical treatment.


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EVIDENCE LEVEL

III (estudio observacional comparativo).




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