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dc.contributor.authorAslan, Ahmet
dc.contributor.authorSargın, Serdar
dc.contributor.authorGülcü, Anıl
dc.contributor.authorKonya, Mehmet Nuri
dc.date.accessioned2021-05-05T22:11:54Z
dc.date.available2021-05-05T22:11:54Z
dc.date.issued2019
dc.identifier.issn1305-8282
dc.identifier.urihttps://doi.org/10.5606/ehc.2019.66447
dc.identifier.urihttps://hdl.handle.net/20.500.12933/226
dc.descriptionPubMed: 31291863en_US
dc.description2-s2.0-85069608739en_US
dc.description.abstractObjectives: This study aims to compare the radiological, clinical and patient-reported outcomes of patients with intra-articular calcaneus fractures treated conservatively or surgically. Patients and methods: Fifty-four patients (30 males, 24 females; mean age 41.0 years; range, 18 to 73 years) treated due to calcaneus fracture were included in the study. Twenty-nine patients underwent conservative treatment (group 1) and 25 patients underwent surgical treatment (group 2). The fractures were classified according to Sanders. At the final follow-up, patients' Bohler's angle, The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score and Foot Function Index (FFI) were used to evaluate their radiological, clinical and patient-reported outcomes. Postoperative complications were also noted. Results: The fracture was at the right foot in 28 patients and the left foot in 26 patients. The mean follow-up duration was 41.1±23.2 months (range, 24 to 126 months). No statistically significant differences were found between the groups in terms of gender, fracture side, mean age, or follow-up duration (p=0.951, p=0.571, p=0.326, and p=0.620, respectively). According to Sanders classification, 18 patients were type 2 and 11 patients were type 3 in group 1, while 11 patients were type 2 and 14 patients were type 3 in group 2. However, there was no statistically significant difference between the groups in terms of the type of the fracture (p=0.184). On the other hand, the outcomes were significantly better for group 2 compared to group 1 in terms of the Bohler's angle, AOFAS and FFI scores (p=0.004, p=0.003 and p=0.006, respectively). In group 1, subtalar arthritis developed in three patients. In group 2, wound healing problems and superficial infection developed in three patients, while subtalar arthritis developed in two patients. Conclusion: Surgical treatment is more effective in intra-articular calcaneus fractures compared to conservative treatment according to clinical, radiological and patient-reported outcomes. In addition, wound problems should be considered in surgical management. © 2019 Turkish Joint Diseases Foundation.en_US
dc.language.isoengen_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBohler's angleen_US
dc.subjectIntra-articular calcaneus fractureen_US
dc.subjectPatient-reported outcomesen_US
dc.subjectSanders classificationen_US
dc.subjectSubtalar arthritisen_US
dc.subjectSurgical treatmenten_US
dc.titleClinical, radiological and patient-reported outcomes in intra-articular calcaneal fractures: Comparison of conservative and surgical treatmenten_US
dc.title.alternativeEklem içi kalkaneus kırıklarında klinik, radyolojik ve hasta raporlu sonuçlar: Konservatif ve cerrahi tedavinin karşılaştırılması
dc.typearticleen_US
dc.departmentAFSÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.contributor.institutionauthorKonya, Mehmet Nuri
dc.identifier.doi10.5606/ehc.2019.66447
dc.identifier.volume30en_US
dc.identifier.issue2en_US
dc.identifier.startpage143en_US
dc.identifier.endpage148en_US
dc.relation.journalEklem Hastaliklari ve Cerrahisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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