Long-term Results of Subtalar Fusions After Operative Versus Nonoperative Treatment of Os Calcis Fractures

Long-term Results of Subtalar Fusions After Operative Versus Nonoperative Treatment of Os Calcis Fractures

From 1984 to 1994, 40 patients with a subtalar fusion were reexamined in long-term follow-up. The evaluation of the overall results was carried out with three different scoring systems. The calcaneal fractures were primarily treated nonsurgically in 23 patients (57.5%), and 17 patients (42.5%) had u...

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Bibliographic Details
Published in:Foot & ankle international Vol. 20; no. 7; pp. 408 - 416
Main Authors: Thermann, Hajo, Hüfner, Tobias, Schratt, Eberhard, Held, Christina, Glinski, Sabine von, Tscherne, Harald
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-07-1999
Subjects:
Adult
Arthritis - etiology
Arthritis - surgery
Arthrodesis
Bone Screws
Calcaneus - diagnostic imaging
Calcaneus - injuries
Female
Follow-Up Studies
Fractures, Bone - complications
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Fractures, Bone - therapy
Humans
Joint Dislocations - etiology
Male
Middle Aged
Radiography
Reproducibility of Results
Retrospective Studies
Subtalar Joint - surgery
Surveys and Questionnaires - standards
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Summary:From 1984 to 1994, 40 patients with a subtalar fusion were reexamined in long-term follow-up. The evaluation of the overall results was carried out with three different scoring systems. The calcaneal fractures were primarily treated nonsurgically in 23 patients (57.5%), and 17 patients (42.5%) had undergone ORIF. Complete pain relief was achieved in 52.5% of patients; 65% revealed a restriction in a range of motion in the ankle joint, and in 62% a grade 1 arthritis of the ankle joint was found. The statistical analysis could only reveal a tendency for a better outcome in the operative group compared with the nonsurgical group, although within the operated group, the majority of the os calcis fractures were more severe than in the nonsurgical group.
Bibliography:ObjectType-Article-1
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content type line 23
ISSN:1071-1007
1944-7876
DOI:10.1177/107110079902000703