PATIENT-REPORTED OUTCOMES AFTER PERMISSIVE WEIGHT BEARING IN SURGICALLY TREATED TRAUMA PATIENTS WITH DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES: A MULTICENTRE, RETROSPECTIVE COHORT STUDY.

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.2340/jrm-cc.v8.42747

Coen Verstappen, Pishtiwan H S Kalmet, Cherelle V Maduro, Raoul VAN Vugt, Jan Bernard Sintenie, Alexander VAN DER Veen, Michael J R Edwards, Martijn Poeze, Erik Hermans, Mitchell L S Driessen

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Abstract

Objective: The current aftertreatment for surgically treated patients with displaced intra-articular calcaneal fractures (DIACFs) consists of restricted weight bearing (RWB) for 8-12 weeks. This study aimed to assess whether permissive weight bearing (PWB) results in improved patient-reported outcomes (PROMs) after a minimum of 2 years follow-up, compared to RWB.

Design: Multicentre, retrospective cohort study.

Patients: Surgically treated patients with isolated unilateral DIACFs.

Methods: Foot and ankle function was measured using the American Orthopaedic Foot and Ankle Society (AOFAS) Score and the Maryland Foot Score (MFS). Health-related quality of life was assessed using the Short Form-12 (SF-12) and the EuroQoL EQ-5D-5L (EQ-5D). Additionally, radiographic parameters and complications were recorded.

Results: Fourteen patients followed the PWB and 18 followed the RWB protocol (n = 32). The PWB group had similar outcome scores on the AOFAS Score (83.4 vs. 71.1, p = 0.13) and MFS (86.3 vs. 77.6, p = 0.20) compared to the RWB group. PWB showed similar outcomes on the EQ-5D (0.86 vs. 0.80, p = 0.26) scores. Radiographic parameters and complication rates were comparable for both groups.

Conclusion: This study suggests that PWB and RWB yield comparable PROMs in foot and ankle function without radiographic failures and similar complication rates in surgically treated patients with isolated, unilateral DIACFs.

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移位的跟骨关节内骨折手术治疗的创伤患者允许负重后患者报告的结果：一项多中心、回顾性队列研究

目的：目前手术治疗的移位性跟骨关节内骨折（DIACFs）患者的术后治疗包括限制性负重（RWB） 8-12周。本研究旨在评估与RWB相比，允许负重（PWB）是否在至少2年的随访后改善了患者报告的结果（PROMs）。设计：多中心、回顾性队列研究。患者：手术治疗的孤立单侧DIACFs患者。方法：采用美国骨科足踝协会（AOFAS）评分和马里兰足部评分（MFS）对足踝功能进行测量。健康相关生活质量采用短表-12 （SF-12）和EuroQoL EQ-5D- 5l （EQ-5D）进行评估。此外，记录影像学参数和并发症。结果：14例患者采用PWB方案，18例采用RWB方案（n = 32）。与RWB组相比，PWB组在AOFAS评分（83.4比71.1,p = 0.13）和MFS（86.3比77.6,p = 0.20）上的结果得分相似。PWB在EQ-5D评分上也有类似的结果（0.86比0.80,p = 0.26）。两组的影像学参数和并发症发生率具有可比性。结论：本研究表明，在手术治疗的孤立的单侧DIACFs患者中，PWB和RWB在足部和踝关节功能方面产生相似的PROMs，没有影像学失败，并发症发生率相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of rehabilitation medicine. Clinical communications

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