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Functional evaluation of intraarticular severely comminuted fractures of the calcaneus with gait analysis
Date
2004-11-01
Author
BOZKURT, Murat
Kentel, B. Behzat
Yavuzer, Gunes
Öçgüder, Ali
Heycan, Cengiz
Tönük, Ergin
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Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
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Twenty-one patients (23 feet) treated nonsurgically for severely comminuted intraarticular fractures of the calcaneus were evaluated prospectively with a clinical scoring scale and computerized gait analysis. All patients had Sanders type III and type IV fractures. The treatment protocol consisted of no closed reduction, immobilization in removable splint, physiotherapy after edema subsided, and weightbearing after 8 weeks. All patients had a minimum follow-up of 2 years (mean, 38 months). Clinical results were good in 2 patients, fair in 3 patients, and poor in 16 patients. Gait analysis showed that patients were at high risk of gastrocnemius weakness and ankle and knee instability. These results may be useful for comparison with the results of other methods, such as open reduction and internal fixation, nonsurgical closed reduction, and arthrodesis.
Subject Keywords
Surgery
,
Orthopedics and Sports Medicine
URI
https://hdl.handle.net/11511/46921
Journal
Journal of Foot and Ankle Surgery
DOI
https://doi.org/10.1053/j.jfas.2004.09.006
Collections
Department of Mechanical Engineering, Article