Original scientific paper
Calcaneal Fracture – Standardized Protocol of Treatment
Nikica Daraboš
; University Clinic of Traumatology, University of Zagreb, Zagreb, Croatia
Marijan Cesarec
; Department of Traumatology, General Hospital Varaždin, Varaždin, Croatia
Denis Grgurović
; Department of Traumatology, General Hospital Varaždin, Varaždin, Croatia
Anela Daraboš
; Scientific Unit, General Hospital Varaždin, Varaždin, Croatia
Esmat Elabjer
; University Clinic of Traumatology, University of Zagreb, Zagreb, Croatia
Gojko Buljat
; University Clinic of Traumatology, University of Zagreb, Zagreb, Croatia
Abstract
Calcaneal fracture (CF) treatment results are not always satisfied. Our aim was to compare medium-term results between standardized and unstandardized protocol in treatment of displaced intra-articular CF. We evaluate experience of our Department where 50 patients with CF in last 5 years – Group X have been treated with standardized protocol, and compare their postoperative results with unstandardized treatment’s effects in 50 patients with CF cured 5 years before – Group Y. As based on Sanders classification, radiographic evaluation and Maryland Foot Score, postoperative results were satisfying in 100% X and 90% Y patients with intra-articular type I, in 86% X and 70 % Y patients with type II, and sufficient in 75% X and 52 % Y patients with type III, in 50% X and 33% Y patients with type IV. We suggest standardized protocol with operative treatment for types II, III and even for type IV of intra-articular CF.
Keywords
calcaneal fracture; standardized protocol; operative treatment; sustentacular fragment
Hrčak ID:
41909
URI
Publication date:
1.7.2009.
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