Affiliation:
1. From the Division of Orthopaedic Surgery, Creighton University School of Medicine, Omaha, Nebraska.
2. Associate Professor of Surgery.
3. Assistant Clinical Professor of Surgery.
Abstract
Open reduction and internal fixation of 23 type II calcaneus fractures in 21 patients was performed using a standard extended lateral approach. Average follow-up was 26 months (range, 12–47 months). The Creighton-Nebraska Health Foundation Assessment Score for Fractures of the Calcaneus was used to evaluate fractures. The average score was 91.4 (range, 80–100), which represented an excellent result. A series of 10 type II fractures treated with closed methods was also evaluated using the same evaluation methods. The average score was 70 (range, 60–84), which represented a fair result. There was a clear statistically significant superiority with type II calcaneus fractures treated with open reduction and internal fixation ( P < 0.0001). We recommend type I calcaneus fractures (nondisplaced) be treated with closed methods, and type II calcaneus fractures (displaced) be treated with open reduction and internal fixation.
Subject
Orthopedics and Sports Medicine,Surgery
Cited by
62 articles.
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