Document Detail


Results of operative treatment for intra-articular fractures of the calcaneus.
MedLine Citation:
PMID:  1994084     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Since 1980 our treatment of displaced intra-articular calcaneal fractures consists of open reduction with distractor, bone grafting, and internal fixation. Thereby no splints are applied and early postoperative movement is possible. For precise preoperative planning a CT scan is required. Proper timing and careful preoperative planning are essential to prevent soft-tissue complications. In a total of 16 fractures good clinical and radiologic results were achieved in 50% of the cases; results were satisfactory in 25% and poor in 25%. The patients returned to work after an average of 5 months. Only three patients (19%) received disability compensations, which compares favorably with nonoperative treatment. We believe that a majority of comminuted intra-articular fractures of the calcaneus profit from open reduction and internal fixation and that more reliable functional results are achieved than with conservative therapy.
Authors:
G Melcher; H Bereiter; A Leutenegger; T Rüedi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  31     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-03-20     Completed Date:  1991-03-20     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  234-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Rätisches Kantons- und Regional-spital, Chur, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ankle Injuries
Ankle Joint / radiography
Calcaneus / injuries*,  radiography
Female
Fracture Fixation, Internal / methods
Fractures, Bone / radiography,  surgery*
Humans
Male

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