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operative versus non-operative treatment for closed displaced intra-articular fractures of the calcaneum
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نویسنده
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parikh kushal ,patel mitesh ,shah shalin ,patel akarsh
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منبع
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جراحي استخوان و مفاصل ايران - 1397 - دوره : 17 - شماره : 1 - صفحه:6 -13
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چکیده
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Background: despite years of study, there is no consensus on the best method for treatment of intraarticular calcaneum fracture. this study aims to compare the outcome of operative versus nonoperative modality of management in intraarticular displaced calcaneum fractures over one year.method: this is a prospective study carried out at a tertiary care hospital over a period of 2 years: 2017 to 2018 in surat, gujarat, india. in this period, out of 49 fractures 25, were treated nonoperatively and 24 by operative method (11 open reduction internal fixation orif plating, 13 minimally invasive surgery – (mis). the outcome was recorded using american orthopaedic foot ankle society (aofas) score and radiographs up to 1year post injury. the assessment was made using analysis of variance (anova) method.result: operative method of management of intraarticular calcaneal fractures had a significantly better (95% confidence) functional outcome at 3 month compared to nonoperative management. however, at 6 and 12 months follow ups the difference between them become insignificant. nonoperative management, however, had more complications as compared to operative management.conclusion: operative modality even in experienced hands has better outcome in terms of aofas score and radiographically compared to nonoperative method in treatment of intraarticular displaced calcaneal fractures only in first few months. at 6 and 12 months follow up, the functional outcomes become similar.
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کلیدواژه
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intraarticular calcaneal fractures ,st pin calcaneum ,orif plating calcaneum ,non-operativecalcaneum.
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آدرس
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veer narmad south gujarat university, surat municipal institute of medical education and research, department of orthopaedics, india, veer narmad south gujarat university, surat municipal institute of medical education and research, department of orthopaedics, india, veer narmad south gujarat university, surat municipal institute of medical education and research, department of orthopaedics, india, veer narmad south gujarat university, surat municipal institute of medical education and research, department of orthopaedics, india
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Operative Versus Non-Operative Treatment for Closed Displaced intra-articular Fractures of the Calcaneum
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Authors
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Parikh Kushal ,Patel Mitesh ,Shah Shalin ,Patel Akarsh
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Abstract
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Background: Despite years of study, there is no consensus on the best method for treatment of intraarticular calcaneum fracture. This study aims to compare the outcome of operative versus nonoperative modality of management in intraarticular displaced calcaneum fractures over one year.Method: This is a prospective study carried out at a tertiary care hospital over a period of 2 years: 2017 to 2018 in Surat, Gujarat, India. In this period, out of 49 fractures 25, were treated nonoperatively and 24 by operative method (11 Open Reduction Internal Fixation ORIF plating, 13 Minimally Invasive Surgery – (MIS). The outcome was recorded using American Orthopaedic Foot Ankle Society (AOFAS) score and radiographs up to 1year post injury. The assessment was made using Analysis of Variance (ANOVA) method.Result: Operative method of management of intraarticular calcaneal fractures had a significantly better (95% confidence) functional outcome at 3 month compared to nonoperative management. However, at 6 and 12 months follow ups the difference between them become insignificant. Nonoperative management, however, had more complications as compared to operative management.Conclusion: Operative modality even in experienced hands has better outcome in terms of AOFAS score and radiographically compared to nonoperative method in treatment of intraarticular displaced calcaneal fractures only in first few months. At 6 and 12 months follow up, the functional outcomes become similar.
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Keywords
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