Operative results of treatment of intraarticular calcaneus fractures with the "low contact plate"

Zentralblatt für Chirurgie
M ArandF Gebhard

Abstract

Calcaneus fractures are a major cause of accident- related invalidity. Long-term results are unsatisfactory with various therapy concepts as reported in the literature. Objective of this study is the long-term clinical and radiological outcome of a patient group treated with a low contact plate. Subjective assessment of function by the patient was an important evaluation criterion. From 01/92 to 12/98 a total of 182 patients with 209 calcaneus fractures were treated. Out of them 95 patients with 109 calcaneus fractures had a follow-up over a period ranging from 6 to 88 months (average 37.9 months). Severe impairment of walking was reported by 34.7 % of the patients. Severe impairment for work was declared by 68.4 % of the patients. 74.7 % of the patients complained middle or severe burden-pain. 64.3 % of the patients felt their quality of life impaired. After the injury 75.8 % of the patients were still employed. Arthrosis of the inferior ankle joint was found in 91.5 % of the cases. Within this collective three patient groups were formed with different follow-up periods to evaluate the temporal course, showing no significant differences. Frequently good functional and subjective results cannot be expected even with standardize...Continue Reading

Citations

Sep 5, 2006·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Franz-Xaver HuberPeter Jürgen Meeder
Mar 27, 2009·Foot & Ankle International·Raffaele RubinoPietro Regazzoni

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