Personal Gait Satisfaction After Displaced Intraarticular Calcaneal Fractures: A 2-8 Year FollowUp

Abstract

Subcategories determined that younger patients who were self-employed and treated operatively had improved gait scores. Treatment (operative or nonoperative) of calcaneal fractures did not affect gait satisfaction according to patient outcome scores.

A Prospective Randomized Controlled Trial of a Bioresorbable Calcium Phosphate Paste (α-BSM) in Treatment of Displaced Intra-Articular Calcaneal Fractures

“…[2][3][4][5]7,10,12 There is presently more evidence than ever to support the operative treatment of intra-articular calcaneal fractures in certain patient populations. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] In particular, certain subsets of patients including non-WCB (Workers Compensation Board) patients, females, and patients with light workloads and simple less displaced fractures have demonstrated superior results with surgery. 3 The goals of calcaneal surgery are to obtain an anatomic reduction of the articular surface and restore calcaneal height and length.…”

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] Although the results of operative versus nonoperative treatment seem to favor operative management, the long-term results with respect to residual pain, restoration of subtalar range of motion, and return to preinjury function continue to be mixed. [2][3][4][5]7,10,12 The goal of operative treatment is to restore the complex foot and ankle biomechanics by performing an anatomic reduction of the subtalar posterior facet and restoring calcaneal height and length. [15][16][17][18] The difficulty often arises in maintaining this reduction postoperatively.…”

Treatment of calcaneal fractures: the available evidence

“…Although the 4 RCTs [10][11][12][13] deriving from the large multicenter study gave important data on the operative treatment of displaced intra-articular calcaneal fractures, they provide no definitive evidence on the best management of displaced intra-articular calcaneal fractures, in particular for the varying severity of the fractures. These studies considered all types of fractures in the same group.…”

“…Finally, the patients' personal satisfaction with gait over a 2-to 8-year follow-up was reported by O'Brien et al [13]. This study assessed how fracture type, treatment and patient demographics influenced gait satisfaction after displaced intra-articular calcaneal fractures.…”

What's New in Foot and Ankle Surgery

“…Very few studies have evaluated patient satisfaction with gait after this type of injury. A prospective, randomized study was performed by O'Brien et al to determine how patient demographics, fracture type, and treatment affected gait satisfaction 17 . In that study, 351 fractures were randomly assigned to open reduction and internal fixation or nonoperative treatment.…”