Long-term results of displaced intra-articular calcaneal fractures treated with minimal invasive surgery using percutaneous screw fixation

Driessen, M.L.S.; Edwards, M.J.R.; Biert, J.; Hermans, Erik

doi:10.1016/j.injury.2020.12.003

Cited by 20 publications

(20 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ankle fracture patients in the ERAS group would obtain a better short-term prognosis but all patients would obtain comparable function one year later in both groups. The ERAS protocol could accelerate the rehabilitation in terms of early-stage within 6 months, which was in line with the previous study [12]. Possible mechanisms and advantages of ERAS protocol are described as follows.…”

Section: Discussionsupporting

confidence: 85%

“…A previous application has proved acceptable advantages in the application of ERAS [11]. The signi cance of fast rehabilitation and better early functional outcomes is critical to ensure a better prognosis for ankle fractures patients [12,13]. However, the effect of short-term outcomes among ankle fracture patients hasn't been investigated thoroughly.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Short-term outcomes of enhanced recovery after surgery (ERAS) for ankle fracture: a single-center retrospective cohort study

Zeng

Yao

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Enhanced recovery after surgery (ERAS) has been successfully adopted for the improvement of medical quality and efficacy in many diseases but the effect among the ankle fracture patients is variable. We intended to explore the short-term outcomes of ERAS among ankle fracture patients.Methods: One hundred sixty ankle fracture participations (41.71 ± 14.51 years-old) grouped into two groups (non-ERAS Vs. ERAS) with an average of 24 months follow-up were included in the retrospective study. Multivariable linear regression analysis and generalized estimating equation (GEE) model were performed to assess the association of outcomes including American Orthopaedic Foot and Ankle Society (AOFAS), length of stay (LOS), and hospital cost.Results: Analysis revealed that the patients in the ERAS group could obtain higher AOFAS score with LOS or hospital cost reduction than that in the ERAS group (p＜0.05) at month 3 postoperatively (PO3M) and month 6 postoperatively (PO6M). However, outcomes were comparable at month 12 postoperatively (PO12M) and later.GEE analysis and group by time interaction of AOFAS revealed the ERAS protocol could help ankle fracture patients recover faster and better in the short-term.Conclusions: Ankle fracture patients could recover better with the application of the ERAS protocol, especially in the short-term periods, all patients would obtain comparable function PO12M later. The ERAS protocol might improve medical quality and efficacy by reducing LOS and hospital costs as well. The current study would provide a realistic evaluation and comparison of the ERAS protocol among the ankle fracture patients for the surgeons in the short-term.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Short-term outcomes of enhanced recovery after surgery (ERAS) for ankle fracture: a single-center retrospective cohort study

Zeng

Yao

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…In a study by Weng et al ., an AOFAS score of 87 points was reported after an average follow-up time of 8 years with an overall complication rate of 12.8% [24] . Finally, a long-term study from our research group reported an AOFAS score of 76 points at an average follow-up of 16 years posttrauma [13] .…”

Section: Percutaneous Reduction and Screw Fixationmentioning

confidence: 83%

“…For example, if the tuberosity or the sustentaculum were comminuted, PSF was not deemed feasible. The minimally invasive technique was performed according to the modified Forgon and Zadravecz technique described in detail in an earlier work by our group [13] . The open procedure was performed using the ELA, which is similar to the previously referenced technique [18] .…”

Section: Methodsmentioning

confidence: 99%

“…The main criticism of this technique is the visibility of the posterior facet, which prevents adequate reduction. However, evidence that supports good functional outcomes in fractures treated by minimally invasive percutaneous techniques is accumulating [8][9][10][11][12][13] . There is only one study that directly compares the open versus minimally invasive percutaneous approach [14] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation