Comparison of the results of surgical and non-surgical treatments in intra-articular fractures of calcaneus

IntroductionCalcaneal fractures include about %2 of all fractures and also they are the most commonfracture in the tarsal region. The present study was designed and evaluated to determinethe consequences of surgical and non-surgical treatments in adult patients with Calcanealfractures.Materials and MethodsThis clinical trial study was carried out to assess the surgical and non surgical methodsin patients with intra_articular fractures of calcaneus referred to educational centers ofMazandaran University of Medical Sciences. Satisfaction rate based on VAS criteria, andpain and function and organ alignment were evaluated by AOFAS.Results63 patients were studied. 26 patients (%41.3) were in the open surgical group and 37pations(%58.7) were in the non-surgical group. The mechanism of damage in %8.2pations (4patients) was caused by low energy trauma (LET). In %81.7 of patients (49 patients) withhigh-grade trauma (HET) was caused by height fall, and in %11.7 of patients (7 patients), high-energy trauma was caused by non-falling from height. The average score of AOFAS(from 0 to 100) was 76.35 + 17.19 (at least 22 and a maximum of 100). There was nosignificant difference between the mean scores in the two treatment groupsConclusionThis study showed that non-surgical in Comparison with sugical methods in patients withcalcaneus fracture in grade 4&3 ,That is Patients› satisfaction dont have any effect on theduration of treatment and improvement, and it is possible to choose non-surgical treatmentwith regard to this and more complications of surgery.

Keywords:

Surgical , non-surgical , intracranial clecanea fractures