PMID- 20436008
OWN - NLM
STAT- MEDLINE
DCOM- 20100610
LR  - 20161125
IS  - 2044-5377 (Electronic)
IS  - 0301-620X (Linking)
VI  - 92
IP  - 5
DP  - 2010 May
TI  - Osteosynthesis of displaced intra-articular fractures of the calcaneum: a 
      long-term review of 47 cases.
PG  - 693-700
LID - 10.1302/0301-620X.92B5.23542 [doi]
AB  - We carried out a retrospective review of 47 intra-articular fractures of the 
      calcaneum treated by open reduction and internal fixation in 45 patients by a 
      single surgeon between 1993 and 2001. The fractures were evaluated before 
      operation by plain radiographs and a CT scan using Sanders' classification. 
      Osteosynthesis involved a lateral approach and the use of the AO calcaneal plate. 
      The mean follow-up was for ten years (7 to 15). Clinical assessment included the 
      American Orthopaedic Foot and Ankle Society Score (AOFAS), the Creighton-Nebraska 
      Score, the Kerr, Prothero, Atkins Score and the SF-36 Health Questionnaire. The 
      radiological evaluation consisted of lateral and axial views of the os calcis. 
      Arthritic changes in the subtalar joint were assessed with an internal oblique 
      view and were graded using the Morrey and Wiedeman scale. There were 18 excellent 
      (38.3%), 17 good (36.2%), three fair (6.3%) and nine poor (19.2%) results. Five 
      patients had a superficial wound infection and five others eventually had a 
      subtalar arthrodesis because of continuing pain. Restoration of Bohler's angle 
      was associated with a better outcome. The degree of arthritic change in the 
      subtalar joint did not correlate with the outcome scores or Sanders' 
      classification. Prompt osteosynthesis should be considered for intra-articular 
      fractures of the calcaneum in order to restore the shape of the hindfoot and 
      Bohler's angle.
FAU - Makki, D
AU  - Makki D
AD  - Department of Trauma and Orthopaedics Princess Alexandra Hospital, Hamstel Road, 
      Harlow CM201QX, UK. daoudmakki@hotmail.com
FAU - Alnajjar, H M
AU  - Alnajjar HM
FAU - Walkay, S
AU  - Walkay S
FAU - Ramkumar, U
AU  - Ramkumar U
FAU - Watson, A J
AU  - Watson AJ
FAU - Allen, P W
AU  - Allen PW
LA  - eng
PT  - Journal Article
PL  - England
TA  - J Bone Joint Surg Br
JT  - The Journal of bone and joint surgery. British volume
JID - 0375355
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Arthrodesis
MH  - Calcaneus/*injuries/surgery
MH  - Female
MH  - Fracture Fixation, Internal/*methods
MH  - Humans
MH  - Intra-Articular Fractures/diagnostic imaging/physiopathology/*surgery
MH  - Male
MH  - Middle Aged
MH  - Pain, Postoperative/epidemiology
MH  - Patient Satisfaction
MH  - Recovery of Function
MH  - Reoperation/statistics & numerical data
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Subtalar Joint/diagnostic imaging/*surgery
MH  - Surgical Wound Infection/epidemiology
MH  - Time Factors
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
EDAT- 2010/05/04 06:00
MHDA- 2010/06/11 06:00
CRDT- 2010/05/04 06:00
PHST- 2010/05/04 06:00 [entrez]
PHST- 2010/05/04 06:00 [pubmed]
PHST- 2010/06/11 06:00 [medline]
AID - 92-B/5/693 [pii]
AID - 10.1302/0301-620X.92B5.23542 [doi]
PST - ppublish
SO  - J Bone Joint Surg Br. 2010 May;92(5):693-700. doi: 10.1302/0301-620X.92B5.23542.