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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 8,
1142-1145.
doi: 10.1302/0301-620X.86B8.15219 Copyright © 2004 by British Editorial Society of Bone and Joint Surgery Fractures of the calcaneumA REVIEW OF 70 PATIENTSM. Paul, MD, Orthopaedic Surgeon; R. Peter, MD, Professor; and P. Hoffmeyer, MD, ProfessorDepartment of Orthopaedic Surgery, University Hospital, Rue Micheli-du-Crest 24, CH 1211 Geneva 14, Switzerland. Correspondence should be sent to Dr. M. Paul. We have assessed the long-term results after operative and non-operative treatment of undisplaced and displaced calcaneal fractures. At a mean of 6.5 years, we reviewed 70 patients with a calcaneal fracture who were divided into four groups: group 1, 18 patients with undisplaced fractures and a normal Böhler’s angle (BA) who had been treated non-operatively; group 2, 23 with intra-articular fractures and a BA <10° who had been treated non-operatively; group 3, 13 with intra-articular fractures and a BA >10° who had been treated surgically; and group 4, 16 with intra-articular fractures and a BA <10° who had been treated surgically. The results were assessed by a clinical score considering pain, return to work, return to physical activity, change in shoe-wear and the requirement for subtalar arthrodesis. Patients with undisplaced calcaneal fractures had a good outcome. Those with displaced fractures treated surgically who presented at follow-up with a BA >10° had a satisfactory functional outcome and those with displaced fractures who had non-operative treatment had a poor outcome. The poorest outcome was consistently seen in patients who were treated operatively without restoration of BA. Open reduction and internal fixation of intra-articular calcaneal fractures can only be expected to benefit those patients in whom nearly anatomical reconstruction is obtained. This article has been cited by other articles:
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