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Can operations achieve good outcomes in elderly patients with Sanders II-III calcaneal fractures?

Abstract The aim of this study was to compare the clinical effect of operative treatment and nonoperative treatment for elderly patients with Sanders II-III calcaneal fractures.The study consisted of 60 patients with Sanders II-III calcaneal fractures who were treated in our institution from January 2007 to April 2012. The clinical effect between the operative treatment group of 32 patients and the nonoperative treatment group of 28 patients was studied. Böhler angle, Gissane angle, subtalar joint motion, calcaneal width, and calcaneal height were measured before and after treatment, and these indexes were also measured on the uninjured foot. All patients were followed-up for at least 2 years, and at the last follow-up, we evaluated foot function that was assessed with the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score system. A 10-cm visual analog scale (VAS) was used to measure the degree of pain.Böhler angle, Gissane angle, calcaneal width, and calcaneal height, which were preoperatively and postoperatively measured, had a significant difference in the operative group (P < .001), but there was no significant difference between pretreatment and post-treatment in the nonoperative group. Subtalar joint motion was measured pre-treatment and post-treatment and had a significant difference in the 2 groups. When we compared the values of Böhler angle, Gissane angle, subtalar joint motion, calcaneal width, and calcaneal height between post-treatment and the uninjured foot, there was no significant difference in the operative group, but there was a significant difference in the nonoperative group. The values measured after treatment in the 2 groups had a significant difference. Finally, the AOFAS score in the operative group and the nonoperative group were 83.4 ± 9.7 and 74.7 ± 10.3, respectively, and there was a significant difference (P < .001). Also, the 10-cm VAS had a significant difference between the 2 groups.Good clinical result could be obtained with operative treatment in elderly patients with Sanders II-III calcaneal fractures. Open reduction and internal fixation should be performed if there is no surgical contraindication.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28723779
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170808
LR  - 20170808
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Can operations achieve good outcomes in elderly patients with Sanders II-III
      calcaneal fractures?
PG  - e7553
LID - 10.1097/MD.0000000000007553 [doi]
AB  - The aim of this study was to compare the clinical effect of operative treatment
      and nonoperative treatment for elderly patients with Sanders II-III calcaneal
      fractures.The study consisted of 60 patients with Sanders II-III calcaneal
      fractures who were treated in our institution from January 2007 to April 2012.
      The clinical effect between the operative treatment group of 32 patients and the 
      nonoperative treatment group of 28 patients was studied. Bohler angle, Gissane
      angle, subtalar joint motion, calcaneal width, and calcaneal height were measured
      before and after treatment, and these indexes were also measured on the uninjured
      foot. All patients were followed-up for at least 2 years, and at the last
      follow-up, we evaluated foot function that was assessed with the American
      Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score system. A 10-cm
      visual analog scale (VAS) was used to measure the degree of pain.Bohler angle,
      Gissane angle, calcaneal width, and calcaneal height, which were preoperatively
      and postoperatively measured, had a significant difference in the operative group
      (P &lt; .001), but there was no significant difference between pretreatment and
      post-treatment in the nonoperative group. Subtalar joint motion was measured
      pre-treatment and post-treatment and had a significant difference in the 2
      groups. When we compared the values of Bohler angle, Gissane angle, subtalar
      joint motion, calcaneal width, and calcaneal height between post-treatment and
      the uninjured foot, there was no significant difference in the operative group,
      but there was a significant difference in the nonoperative group. The values
      measured after treatment in the 2 groups had a significant difference. Finally,
      the AOFAS score in the operative group and the nonoperative group were 83.4 +/-
      9.7 and 74.7 +/- 10.3, respectively, and there was a significant difference (P &lt; 
      .001). Also, the 10-cm VAS had a significant difference between the 2 groups.Good
      clinical result could be obtained with operative treatment in elderly patients
      with Sanders II-III calcaneal fractures. Open reduction and internal fixation
      should be performed if there is no surgical contraindication.
FAU - Su, Jun
AU  - Su J
AD  - Department of Orthopedic Surgery, The General Hospital of Jinan Military Command,
      Shandong, People's Republic of China.
FAU - Cao, Xuecheng
AU  - Cao X
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Calcaneus/*injuries/*surgery
MH  - Disability Evaluation
MH  - Female
MH  - Follow-Up Studies
MH  - Fracture Fixation, Internal
MH  - Fractures, Bone/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - Pain, Postoperative
MH  - Range of Motion, Articular
MH  - Retrospective Studies
MH  - Treatment Outcome
PMC - PMC5521919
EDAT- 2017/07/21 06:00
MHDA- 2017/08/09 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007553 [doi]
AID - 00005792-201707210-00044 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7553. doi: 10.1097/MD.0000000000007553.