Correlation between Clinical Outcome and Radiologic Features After Open Reduction and Internal Fixation of Calcaneal Fractures.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Seyed Ali Hashemi, Mohammad Mehboudi, Amir Human Hoveidaei, Amir Reza Vosoughi
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引用次数: 0

Abstract

Background: We aimed to find probable correlation between postoperative radiologic variables and clinical outcomes of surgically treated calcaneal fractures.

Methods: In a retrospective study, 70 unilateral displaced intraarticular calcaneal fractures in adults with follow-up more than 1 year were asked to have a visit. Weightbearing radiographs of both ankles were taken and radiologic parameters, including the differences in values in Böhler and Gissane angles in comparison with the uninjured side, and calcaneocuboid and subtalar joint arthritis based on the Kellgren-Lawrence grading scale, were evaluated. They were considered to find any correlation with clinical outcomes assessed by American Orthopaedic Foot and Ankle Society Ankle-Hindfoot scale, visual analogue scale, Foot Function Index, and Tegner Activity Scale.

Results: A total of 61 men (87.1%) and nine women (12.9%) with a mean age of 38.9 ± 12.7 years (range, 18-67 years) were included. Mean follow-up visit for the patients was 25.1 ± 12.7 months. Mean scores of American Orthopaedic Foot and Ankle Society Ankle-Hindfoot scale, visual analogue scale, Foot Function Index, and Tegner Activity Scale were 86.7 ± 12.9, 21.3 ± 22.2, 13.1 ± 15.4, and 5.2 ± 1.1, respectively. The mean Gissane angle and Böhler angle differences were -0.2 ± 8.6 and -3.7 ± 7.2, respectively. Regarding the calcaneocuboid arthritis, 50 (71.4%), 14 (20.0%), and six patients (8.6%) were categorized in grades 0, 1, and 2, respectively. Also, subtalar arthritis was seen in 15 (21.4%), 24 (34.3%), 20 (28.6%), and 11 patients (15.7%), categorized as grades 0, 1, 2, and 3, respectively. No statistical correlation was found between any of the radiologic variables and clinical scores.

Conclusions: There was no significant correlation between Böhler and Gissane angles and the clinical outcomes in surgically treated calcaneal fractures. Also, functional outcomes do not change considerably among different grades of arthritis in calcaneocuboid and subtalar joints, at least during short- to mid-term follow-up periods. Radiologic findings after open reduction and internal fixation of calcaneal fractures are not predictors of function of the patients.

钙骨骨折切开复位内固定术后临床疗效与放射学特征之间的相关性
背景我们的目的是找出手术治疗小关节骨折的术后放射学变量与临床结果之间的可能相关性:在一项回顾性研究中,我们对随访超过 1 年的 70 例单侧移位的成人关节内小关节骨折患者进行了访问。研究人员拍摄了双侧踝关节的负重X光片,并对放射学参数进行了评估,包括与未受伤侧相比,Böhler角和Gissane角的数值差异,以及根据Kellgren-Lawrence分级法得出的小关节和足底关节炎。通过美国骨科足踝协会踝-后足量表、视觉模拟量表、足部功能指数和泰格纳活动量表评估临床结果,以发现两者之间的相关性:共纳入 61 名男性(87.1%)和 9 名女性(12.9%),平均年龄为 38.9±12.7 岁(18-67 岁)。患者的平均随访时间为(25.1 ± 12.7)个月。美国骨科足踝协会踝-后足量表、视觉模拟量表、足部功能指数和 Tegner 活动量表的平均得分分别为(86.7 ± 12.9)、(21.3 ± 22.2)、(13.1 ± 15.4)和(5.2 ± 1.1)。Gissane角和Böhler角的平均差异分别为-0.2 ± 8.6和-3.7 ± 7.2。在小关节炎方面,50 名患者(71.4%)、14 名患者(20.0%)和 6 名患者(8.6%)分别被分为 0 级、1 级和 2 级。此外,15 名患者(21.4%)、24 名患者(34.3%)、20 名患者(28.6%)和 11 名患者(15.7%)出现了足底关节炎,分别被分为 0、1、2 和 3 级。任何放射学变量与临床评分之间均未发现统计学相关性:结论:在接受手术治疗的小关节骨折患者中,Böhler 角和 Gissane 角与临床结果之间没有明显的相关性。此外,至少在中短期随访期间,不同等级的小方块关节炎和距下关节炎的功能预后变化不大。小关节骨折切开复位和内固定术后的放射学结果并不能预测患者的功能。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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