Does Treatment Modality Affect Clinical Results of Calcaneal Fractures: A Retrospective Comparative Study

Yıl 2017, Cilt: 1 Sayı: 2, 77 - 82, 15.07.2017

Mehmet Nuri Konya Serdar Sargın

https://doi.org/10.30565/medalanya.313876

Öz

Aim: To determine if there is any
difference in functional results between surgical and conservative treatments
in displaced intra-articular fractures of the calcaneum.

Methods: 27 patients (22 males, 5
females, who were treated with surgical or conservative modalities (13
conservative and 14 surgical) due to displaced calcaneal fractures in different
hospitals, were evaluated in this study between the years of 2012 and 2014. All
patients were followed up at least for 2 years. All patients were compared
using the AOFAS questionnaire.

Results: There was no significant
difference in terms of ages and sexes of the patients. (p>0, 05) The mean
AOFAS score was 69, 15 (56-82) in conservative group, and 84, 3 (56-96) in
surgical group. When these AOFAS scores were compared (Mann Whitney-U Test),
the functional scores were significantly higher in surgical group (p<0, 05).

Conclusion: Our study showed – as the
existing literature also supports– that surgical treatment of intraarticular
calcaneal fractures is functionally and clinically more effective than
conservative treatment.

Anahtar Kelimeler

Calcaneus, Surgery, conservative

Kalkaneus Kırıklarında Tedavi Yöntemi Klinik Sonuçları Etkiler Mi? Retrospektif Karşılaştırmalı Çalışma.

Öz

Amaç: Deplase intraartiküler
kalkaneus kırıklarında konservatif ve cerrahi tedaviler arasında fonksiyonel
sonuçlar açısından herhangi bir fark olup olmadığını belirlemek.

Yöntemler: Çalışmamızda 2012-2014 yılları
arasında farklı merkezlerde konservatif ve cerrahi olarak tedavi edilmiş ve en
az 2 yıl takibi olan 27 (13 konservatif ve 14 cerrahi tedavi) kalkaneus kırıklı
hasta (22 erkek, 5 kadın) geriye dönük olarak incelendi. Hastaların fonksiyonel
sonuçları AOFAS skorlarına göre karşılaştırıldı.

Bulgular: Yaş ve cinsiyet açısından
gruplar arasında anlamlı fark olmadığını bulduk.(p>0,05). AOFAS skorları
konservatif tedavi uygulanan hastalarda 69,15 (56-82) ve cerrahi tedavi
uygulanan hastalarda 84,3 (56-96) puan idi. Her iki tedavi grubunun AOFAS
skorları karşılaştırıldığında (Mann Whitney-U Test) cerrahi tedavi uygulanan
grupta fonksiyonel sonuçların istatistiksel anlamlı olarak daha iyi olduğunu
bulduk. (p<0,05).

Sonuç: Çalışmamızdan literatürdeki
mevcut bilgileri destekleyecek şekilde çıkan sonuç,  cerrahi tedavilerin sonuçlarının özellikle
eklem içi kalkaneus kırıklarının tedavisinde, klinik ve fonksiyonel sonuçlar
açısından konservatif tedaviden daha etkin olduğudur.

Anahtar Kelimeler

Kalkaneus, Cerrahi, Konservatif

Kaynakça

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