title: Open reduction for intra-articular calcaneal fractures: evaluation using computed tomography.
abstract: Radiographic and computed tomography features of unilateral intra-articular calcaneal fractures after open reduction and internal fixation were compared with late functional outcomes to identify prognostic factors. Sixty-one of 67 patients treated between 1997 and 2002 could walk painlessly postoperatively (average, 19.7 months). Functional results (Laasonen's criteria) were excellent or good in 92.5%. Factors associated with better functional results were lower age (p = .0227), greater Böhler angle at the time of injury (p < .0001), lower Sanders' grade (p = .0497), increased height of fractured regions (p = .0249), better reduction of the posterior facet (p = .0126), and better reduction of the calcaneocuboid joint (p = .0023). Only the latter two were found to be surgical prognostic factors.
authors.affiliation: Department of Orthopedic Surgery, Jinno Hospital, Himeji, Japan. jinno@oregano.ocn.ne.jp
authors.forename: Taketo
authors.initials: T
authors.lastname: Kurozumi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Jinno
authors.forename: Toru
authors.initials: T
authors.lastname: Sato
authors.forename: Hajime
authors.initials: H
authors.lastname: Inoue
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Aitani
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Okuda
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed