Conservative Management of Calcaneal Fractures. A Retrospective Review of Treatment Outcome
- Author:
HY Wong
;
AS Vivek
;
BC Se To
- Publication Type:Journal Article
- Keywords:
Calcaneal fractures, Conservative
- From:Malaysian Orthopaedic Journal
2008;2(1):28-32
- CountryMalaysia
- Language:English
-
Abstract:
Int roduction: Treatment of calcaneal fracture is still
controversial and indication for surgery is not well
established. We are reporting the mid term outcome of
calcanel fractures treated conservatively.
Material and Methods: Patients admitted with calcaneal
fractures from 1st November 2002 till 31st December 2004
and were treated conservatively were included in this study.
The fractures were grouped according to Essex-Lopresti
classification and their outcomes were assessed with the
Maryland foot score. We also looked at time to weight
bearing and returning to occupational activity.
Results: Forty-four patients were included for evaluation.
Patients with extraarticular calcaneal fractures had
significantly higher rating scores compared to those with
intraarticular fractures (98.2 and 88.8 respectively, with a p value = 0.0001). Generally, both group of patients had a good clinical outcome. 18 of the 44 patients (41%) started partial weight bearing before or at 6 weeks and 31 patients (72%) were able to start full weight bearing by 12 weeks. 31 patients (72%) were back to work 12 weeks after the injury.
Conclusion: Conservative management for calcaneal
fractures is an acceptable mode of treatment with satisfactory functional outcome.
- Full text:W020151221412245597374.pdf
