title: Functional Outcomes After Operative Treatment of Calcaneal Fractures: Midterm Review.
abstract: The purpose of this article is to report midterm follow-up of operatively treated calcaneus fractures. All patients with a calcaneus fracture, treated with open reduction and internal fixation (ORIF) using the extensile lateral approach, were identified. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society's (AOFAS) ankle-hindfoot assessment, SF-36, and a questionnaire. There were 20 patients (25 fractures): 16 males and four females. The average age was 42 years (range, 16-73 years) and the mean follow-up time was 40 months (range, 13-73 months). The mean AOFAS score was 67.8 (SD = 19.3) and the mean SF-36 score was 55.7 (SD = 26.3). Patients in an motor vehicle accident had more associated injuries. Statistically significantly worse AOFAS scores were noted in patients with ORIF > 21 days after their injury (p= .047). Many lifestyle alterations were found to be present, including change in work, participation in recreational activities, footwear, and use of ambulatory assistive devices.
authors: Saint Louis University School of Medicine, St. Louis, Missouri.
authors: Michael A
authors: MA
authors: Del Core
authors: Emily
authors: E
authors: Mills
authors: Lisa K
authors: LK
authors: Cannada
authors: David E
authors: DE
authors: Karges
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000293:injuries*; D005260:Female; D018409:Foot Injuries / Q000601:surgery*; D061826:Foot Orthoses / Q000706:statistics & numerical data; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D017060:Patient Satisfaction; D012042:Registries; D012189:Retrospective Studies; D012656:Self-Help Devices / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult