PMID- 17445815
OWN - NLM
STAT- MEDLINE
DCOM- 20071002
LR  - 20161124
IS  - 0020-1383 (Print)
IS  - 0020-1383 (Linking)
VI  - 38
IP  - 7
DP  - 2007 Jul
TI  - Displaced intra-articular calcaneal fractures: 15-year follow-up of a randomised 
      controlled trial of conservative versus operative treatment.
PG  - 848-55
AB  - AIM: To report the 15-year follow-up of displaced intra-articular calcaneal 
      fractures from a randomised controlled trial of conservative versus operative 
      treatment published in 1993. PATIENTS AND METHODS: Of the initial study, 46 
      patients (82%) were still alive at a mean of 15 years post injury and 26 patients 
      (57%) agreed to review. The patients had been randomly allocated to either 
      conservative or operative treatment in the original study. Clinical [American 
      orthopaedic foot and ankle society hindfoot scale (AOFAS), foot function index 
      (FFI) and calcaneal fracture score] and radiological (Bohler's angle and 
      calcaneum height) outcome measures were used. The grade of osteoarthritis was 
      also assessed at long-term follow-up. RESULTS: At long-term follow-up, the 
      clinical outcomes were not different between conservative versus operative 
      treatment. AOFAS hindfoot scale: conservative=78.5 and operative=70, p=0.11; FFI: 
      conservative=24.4 and operative=26.9, p=0.66; calcaneal fracture score: 
      conservative=70.1 and operative=63.5, p=0.41. The radiological outcomes were also 
      not different between both groups. Bohler's angle: conservative=10.4 degrees and 
      operative 16.9 degrees , p=0.07; height of calcaneum: conservative=37.2mm and 
      operative=38.2mm, p=0.57; grade of osteoarthritis of the sub-talar joint: p=0.54. 
      There was no correlation between Bohler's angle and the outcome measures in 
      either group. CONCLUSION: The results of this 15-year follow-up of displaced 
      intra-articular calcaneal fracture randomised controlled trial were equivalent 
      between conservative and operative treatment and demonstrate similar findings to 
      those at one year follow-up.
FAU - Ibrahim, T
AU  - Ibrahim T
AD  - Department of Orthopaedic Surgery, Leicester General Hospital, Gwendolen Road, 
      Leicester LE5 4PW, UK. ti11@le.ac.uk
FAU - Rowsell, M
AU  - Rowsell M
FAU - Rennie, W
AU  - Rennie W
FAU - Brown, A R
AU  - Brown AR
FAU - Taylor, G J S
AU  - Taylor GJ
FAU - Gregg, P J
AU  - Gregg PJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20070418
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
CIN - Injury. 2008 Mar;39(3):380; author reply 380. PMID: 18243194
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Calcaneus
MH  - Female
MH  - Follow-Up Studies
MH  - Fractures, Bone/diagnostic imaging/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Radiography
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2007/04/21 09:00
MHDA- 2007/10/03 09:00
CRDT- 2007/04/21 09:00
PHST- 2006/11/07 00:00 [received]
PHST- 2006/11/27 00:00 [revised]
PHST- 2007/01/03 00:00 [accepted]
PHST- 2007/04/21 09:00 [pubmed]
PHST- 2007/10/03 09:00 [medline]
PHST- 2007/04/21 09:00 [entrez]
AID - S0020-1383(07)00004-6 [pii]
AID - 10.1016/j.injury.2007.01.003 [doi]
PST - ppublish
SO  - Injury. 2007 Jul;38(7):848-55. doi: 10.1016/j.injury.2007.01.003. Epub 2007 Apr 
      18.