ArticleInternational orthopaedics2016
Long-term results of surgically treated calcaneal fractures: an analysis with a minimum follow-up period of twenty years.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- The role of early weight bearing in the aftertreatment of unilateral displaced intraarticular calcaneal fractures: a systematic review and pooled analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Pooled it
- Extensible lateral approach versus sinus tarsi approach for sanders type II and III calcaneal fractures osteosynthesis: a randomized controlled trial of 186 fractures.Journal of orthopaedic surgery and research · 2025Trial
- Minimally invasive internal fixation of Sanders IV calcaneal fractures using a tarsal sinus plate and cannulated screws.BMC surgery · 2026Article
- PATIENT-REPORTED OUTCOMES AFTER PERMISSIVE WEIGHT BEARING IN SURGICALLY TREATED TRAUMA PATIENTS WITH DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES: A MULTICENTRE, RETROSPECTIVE COHORT STUDY.Journal of rehabilitation medicine. Clinical communications · 2025Article
- [Surgical treatment of intra-articular calcaneus fractures with plate osteosynthesis via the sinus tarsi approach].Operative Orthopadie und Traumatologie · 2023Review
- Staged Ilizarov distraction histogenesis and corrective reconstruction for severe malunited calcaneal fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Surgical experience as a decisive factor for the outcome of calcaneal fractures using locking compression plate: results of 3 years.Archives of orthopaedic and trauma surgery · 2021Article
- Outcomes of intra-articular calcaneal fractures: surgical treatment of 114 consecutive cases at a maximum care trauma center.BMC musculoskeletal disorders · 2021Article
- Patient-Reported Outcome Following Operative and Conservative Treatment of Calcaneal Fractures: A Retrospective Analysis of 79 Patients at Short- to Midterm Follow-Up.Frontiers in surgery · 2021Article
- Comparison of sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fractures Sanders type IV.International orthopaedics · 2019Article
- Computer-assisted virtual surgical technology in pre-operative design for the reconstruction of calcaneal fracture malunion.International orthopaedics · 2019Article
- Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion.BMC musculoskeletal disorders · 2019Article
- Post-operative radiological predictors of satisfying outcomes occurring after intra-articular calcaneal fractures: a three dimensional CT quantitative evaluation.International orthopaedics · 2017Article
- Radiological study of the secondary reduction effect of early functional exercise on displaced intra-articular calcaneal fractures after internal compression fixation.International orthopaedics · 2017Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLong-term results after treatment of calcaneal fractures are rare. For this reason, we conducted a retrospective follow-up after a minimum of 20 years post surgery.
methodsBetween 1990 and 1994, a total of 66 patients received surgical treatment for displaced calcaneal fractures. At that time, osteosynthesis was performed using small, one-third tubular plates. After collecting empirical data, we conducted a follow-up at least 20 years post surgery using X-ray imaging and clinical questionnaires (AOFAS and SF-36 questionnaire).
resultsIt was possible to recruit a total of 22/66 patients (33 %) after a mean of 22 years (range, 20-24) post surgery. With regard to the AOFAS scores (mean value, 74 points), 12 showed very good or good results, four showed average and six poor results. Patients with orthopaedic shoes also had low AOFAS scores. The Boehler's angle had been increased from +2° prior to surgery to +21° post-operatively. At the time of follow-up, the mean value was +17°. The angle correlated with the AOFAS score. Also, the SF-36 physical score was clearly reduced when compared to a general population, and correlated significantly with the AOFAS score.
conclusionThere is still no evidence that open reduction and internal fixation of calcaneal fractures results in better outcomes than conservative therapy. This has been confirmed by our long-term results that provided disillusioning results: in a small population, only 55 % of the patients showed very good or good clinical overall results. Furthermore, SF-36 showed impaired physical subscores, which correlated significantly with the AOFAS.
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