ArticleBMC musculoskeletal disorders2021
Outcomes of intra-articular calcaneal fractures: surgical treatment of 114 consecutive cases at a maximum care trauma center.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed.
- 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
- Sinus Tarsi Versus Extensile Lateral Approach for Sanders Type II-IV Calcaneal Fractures: A Comparative Analysis of Functional Outcomes, Return to Work, and Cosmetic Parameters.Journal of clinical medicine · 2026Article
- Treatment Options in Managing Infections Following Calcaneal Fractures: A Systematic Review.Life (Basel, Switzerland) · 2026Review
- Combined extensile medial and sinus tarsi approaches for intra-articular calcaneus fractures: a case series.BMC surgery · 2026Article
- Utilization of a Lateral Based Femoral Distractor for Calcaneus Tuberosity Reduction in Displaced Intraarticular Calcaneus Fractures: Surgical Technique and Case Series.The Iowa orthopaedic journal · 2025Article
- Analysis of risk factors associated with incision complications in modified "L" approach for calcaneal fracture.American journal of translational research · 2024Article
- [Calcaneal V-shaped osteotomy combined with subtalar arthrodesis for StephensZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Percutaneous subtalar joint screw fixation of comminuted calcaneal fractures: a salvage procedure.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Calcaneus Fracture and Posterior Arthroscopic Primary Subtalar Arthrodesis (C-PASTA).JBJS essential surgical techniquesArticle
- The Impact of De-Roofing of Lateral Calcaneal wall in Open Reduction and Internal Fixation of Intra-Articular Fractures: Clinico-Radiological Outcomes of a Novel Technique and Review of Literature.Journal of the West African College of SurgeonsArticle
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6 authors.
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Abstract
backgroundThe aim of this retrospective monocentric study was to investigate the outcomes of surgically treated intra-articular calcaneus fractures in a maximum care trauma center.
methodsOne hundred forty patients who had undergone surgery for intra-articular calcaneal fractures between 2002 and 2013 were included. One hundred fourteen cases with 129 fractures were eligible to participate in the study of which 80 were available for a clinical and radiological follow-up. 34 patients were followed up by telephone interview only. Outcome measures included the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, Short Form 36 Health Status Survey (SF-36), complications, and subsequent surgeries.
resultsMean follow-up was 91 months (range 12-183). The overall complication rate was 29% (37/129 ft). Disturbed wound healing (11%) and infection (5%) occurred most commonly. Non-union (4%) only occurred in smokers (p = 0.02). A high rate of posttraumatic subtalar arthritis (77%) and need for subsequent subtalar fusion (18%) without independent risk factors for subsequent subtalar fusion was found. The revision rate was high (60%) after primary fusion. Mean AOFAS-hindfoot score was 74 (Sanders I: 99, Sanders II: 74, Sanders III: 77, Sanders IV: 70). The postoperative Boehler angle improved significantly in all subgroups (p < 0.01). Patients with a decreased Boehler angle between postoperative images and the follow-up had significantly lower AOFAS hindfoot scores (p < 0.01).
conclusionsOur data can aid decision-making in the treatment of calcaneal fractures. We advocate to use primary subtalar fusion with caution due to the high revision rate. Smoking status should always be considered. LEVEL OF EVIDENCE: Level III, retrospective cohort study.
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