Quality of Life and Clinical Evaluation of Calcaneoplasty with a Balloon System for Calcaneal Fracture at 5 Years of Follow-Up.
Journal
Advances in orthopedics
ISSN: 2090-3464
Titre abrégé: Adv Orthop
Pays: Egypt
ID NLM: 101565129
Informations de publication
Date de publication:
2021
2021
Historique:
received:
23
02
2021
accepted:
02
06
2021
entrez:
2
7
2021
pubmed:
3
7
2021
medline:
3
7
2021
Statut:
epublish
Résumé
Calcaneal fractures are a challenging clinical problem. Management of this type of injury remains controversial, especially in the context of intra-articular fractures. Surgical treatment with open reduction and internal synthesis (ORIF) is considered the standard treatment for CF, but it is associated with many complications. Several minimally invasive techniques such as balloon-assisted reduction, pin fixation, and tricalcium phosphate augmentation have been proposed to avoid the frequent and recurrent postoperative problems related to these fractures. We retrospectively examined 20 patients (mean age was 54.5), all undergoing minimally invasive calcaneoplasty surgery at our Department of Orthopaedics and Traumatology between 2012 and 2016. X-ray and CT scan were performed preoperatively and at 5 years of follow-up (57.9 ± 6 months). The American Orthopaedic Foot and Ankle Society (AOFAS) score was used for clinical examination, and the Short-Form (36) Health Survey (SF-36) score and Visual Analogue Scale (VAS) were used to assess the Health-Related Quality of Life (HRQoL). All 20 patients were available at the final follow-up. The mean AOFAS score was 82.25/100. The VAS results attest an overall average of 2.7/10 (0-9). The average of the parameters "Physical Health" and "Mental Health" was, respectively, 81.25 and 83.55. In terms of postoperative complications, we observed no cases of superficial or deep infections. Clinical response after balloon-assisted reduction, pin fixation, and tricalcium phosphate augmentation has shown a comparable or better outcome according to the AOFAS and VAS score. Quality-of-life scores, obtained according to the SF-36 questionnaire, are considered high. From both a clinical and quality-of-life point of view, our study highlights that there is not gender distinction. Further comparative studies with a higher number of patients are needed which assess the quality of life in the various techniques used to treat calcaneal fractures.
Identifiants
pubmed: 34211787
doi: 10.1155/2021/5530620
pmc: PMC8208879
doi:
Types de publication
Journal Article
Langues
eng
Pagination
5530620Informations de copyright
Copyright © 2021 Giuseppe Maccagnano et al.
Déclaration de conflit d'intérêts
All authors have no conflicts of interest to declare.
Références
J Orthop. 2019 Sep 12;18:132-137
pubmed: 32021019
Foot Ankle Int. 2004 Oct;25(10):733-8
pubmed: 15566705
Foot (Edinb). 2009 Dec;19(4):197-200
pubmed: 20307476
J Int Med Res. 2014 Feb;42(1):17-25
pubmed: 24326953
J Res Med Sci. 2011 Aug;16(8):1014-9
pubmed: 22279476
Orthop Traumatol Surg Res. 2013 Nov;99(7):829-36
pubmed: 24095598
Injury. 2014 Dec;45 Suppl 6:S72-9
pubmed: 25457323
Injury. 2019 Aug;50 Suppl 4:S39-S46
pubmed: 31133288
Int Orthop. 2012 Aug;36(8):1615-22
pubmed: 22576080
J Surg Orthop Adv. 2016 Fall;25(3):149-156
pubmed: 27791971
Int Orthop. 2013 May;37(5):905-10
pubmed: 23525527
J Clin Orthop Trauma. 2015 Sep;6(3):147-52
pubmed: 26155049
Injury. 2016 Oct;47 Suppl 4:S138-S146
pubmed: 27492063
Foot Ankle Int. 2011 Feb;32(2):205-10
pubmed: 21288423
Injury. 2012 Oct;43(10):1640-50
pubmed: 22664393
J Orthop Traumatol. 2013 Dec;14(4):307-10
pubmed: 23744105
Injury. 2018 Nov;49 Suppl 3:S94-S99
pubmed: 30415676
Malays Orthop J. 2012 Mar;6(1):13-7
pubmed: 25279036
Cochrane Database Syst Rev. 2013 Jan 31;(1):CD008628
pubmed: 23440830