Minimally Invasive Surgery vs Nonoperative Treatment for Displaced Intraarticular Calcaneal Fracture: A Prospective Propensity Score Matched Cohort Study With 2-Year Follow-up

医学 外科 队列 前瞻性队列研究 脚踝 经皮 内固定 生活质量(医疗保健) 跟骨骨折 队列研究 内科学 护理部
作者
Raju Ahluwalia,Thomas Lewis,Omar Musbahi,Ines Reichert
出处
期刊:Foot & Ankle International [SAGE]
标识
DOI:10.1177/10711007241230550
摘要

Background: Optimal management of displaced intraarticular calcaneal fractures remains controversial. The aim of this prospective cohort study was to compare the clinical and radiologic outcomes of minimally invasive surgery vs nonoperative treatment in displaced intraarticular calcaneal fracture up to 2 years. Methods: All displaced intraarticular calcaneal fractures between August 2014 and January 2019 that presented to a level 1 trauma center were considered for inclusion. The decision to treat was made by a multidisciplinary team consisting of fellowship-trained orthopaedic surgeons. Operative treatment protocol involved sinus tarsi approach or percutaneous reduction and internal fixation. Nonoperative protocol involved symptomatic management with no attempt at closed reduction. The Manchester-Oxford Foot Questionnaire (MOXFQ) and EuroQol–5 Dimensions–5 Level (EQ-5D-5L) patient-reported outcome measures were used to assess foot and ankle and general health related quality of life outcomes, respectively, at 2-year follow-up. Radiographic assessment was performed based on preinjury and 12-week postinjury radiographs. Results: A total of 101 patients were included for analysis between August 2014 and January 2019. We propensity score matched 46 patients in the surgical cohort to 46 patients in the nonsurgical cohort. At 24 months, there was no significant difference in the MOXFQ Index score ( P > .05); however, the surgical cohort had a significantly higher EQ-5D-5L Index score ( P < .05) and return to work (91% vs 72%, P < .05) and physical activity rate (46 vs 35%, P < .05) despite a higher proportion of more complex fractures in the surgical cohort. The wound complication rate following surgery was 16%. In addition, 14% of patients in the nonoperative cohort subsequently underwent arthrodesis compared with none of the patients in the surgical cohort. Conclusion: In this study, we found that operative treatments were associated with low rates of surgical complication at 2 years and long-term pain improvement, facilitating earlier and better functional outcomes for complex injury patterns compared with nonoperative treatment for less severe fractures. Level of Evidence: Level III, retrospective cohort.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
liuliuliu发布了新的文献求助10
2秒前
2秒前
奋斗喵完成签到 ,获得积分10
2秒前
3秒前
哎哟我去完成签到,获得积分10
4秒前
JinwenShi发布了新的文献求助10
4秒前
4秒前
6秒前
妖妖发布了新的文献求助10
6秒前
lgh完成签到,获得积分10
7秒前
Alberta完成签到,获得积分10
8秒前
pzd发布了新的文献求助10
8秒前
向xiang123发布了新的文献求助10
9秒前
智博36发布了新的文献求助10
10秒前
大个应助闪闪妍采纳,获得10
12秒前
英俊的铭应助JinwenShi采纳,获得10
13秒前
欢喜的凡完成签到 ,获得积分10
13秒前
13秒前
彭于晏应助向xiang123采纳,获得10
13秒前
善学以致用应助Sarah采纳,获得80
15秒前
16秒前
Orange应助11234采纳,获得10
16秒前
zzz完成签到,获得积分10
16秒前
妖妖完成签到,获得积分10
18秒前
至乐无乐发布了新的文献求助30
18秒前
野原发布了新的文献求助10
19秒前
整齐凌萱发布了新的文献求助10
20秒前
20秒前
暮茵完成签到 ,获得积分10
20秒前
pzd完成签到,获得积分10
21秒前
xuan完成签到,获得积分10
22秒前
Vivi完成签到,获得积分10
22秒前
大气沛槐给大气沛槐的求助进行了留言
24秒前
Vera完成签到,获得积分10
24秒前
上官若男应助科研通管家采纳,获得10
24秒前
隐形曼青应助科研通管家采纳,获得10
24秒前
24秒前
小蘑菇应助科研通管家采纳,获得10
24秒前
24秒前
小二郎应助科研通管家采纳,获得30
24秒前
高分求助中
Sustainability in Tides Chemistry 2800
Kinetics of the Esterification Between 2-[(4-hydroxybutoxy)carbonyl] Benzoic Acid with 1,4-Butanediol: Tetrabutyl Orthotitanate as Catalyst 1000
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
Rechtsphilosophie 1000
Very-high-order BVD Schemes Using β-variable THINC Method 568
Chen Hansheng: China’s Last Romantic Revolutionary 500
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3138860
求助须知:如何正确求助?哪些是违规求助? 2789795
关于积分的说明 7792655
捐赠科研通 2446147
什么是DOI,文献DOI怎么找? 1300890
科研通“疑难数据库(出版商)”最低求助积分说明 626066
版权声明 601079