Outcome following osteosynthesis or primary arthrodesis of calcaneal fractures: A cross-sectional cohort study

Siem A. Dingemans; Sjoerd T. Meijer; Manouk Backes; Vincent M. de Jong; Jan S. K. Luitse; Tim Schepers

doi:https://doi.org/10.1016/j.injury.2017.08.027

Outcome following osteosynthesis or primary arthrodesis of calcaneal fractures: A cross-sectional cohort study

Siem A. Dingemans, Sjoerd T. Meijer, Manouk Backes, Vincent M. de Jong, Jan S. K. Luitse, Tim Schepers

Research output: Contribution to journal › Article › Academic › peer-review

11 Citations (Scopus)

Abstract

Background: Calcaneal fractures are uncommon and have a substantial impact on hindfoot function and quality of life. Several surgical treatment options are available; both in surgical approach and type of operation. The aim of this study was to compare functional outcome and quality of life following ORIF and primary arthrodesis. Furthermore, predictors of worse functional outcome were explored. Methods: A retrospective cross-sectional cohort study was performed in patients with surgical fixation of a calcaneal fracture with a minimum follow-up of 18 months. Patients received ORIF through the 1) Extended Lateral Approach (ELA), 2) Sinus Tarsi Approach (STA) or 3) primary arthrodesis via STA. Participants were presented a questionnaire containing demographics, the AOFAS hindfoot scale, Foot Function Index, SF-36, EQ-5D and patient satisfaction. Results: In total 95 patients participated in this study. The three groups were comparable regarding patient characteristics. A median score of 74.5 points on the AOFAS hindfoot scale and 11.9 on the FFI was found for the entire group. There were no statistically significant differences between patients with ORIF of primary arthrodesis. Patients scored a median of 49.0 on the Physical Component Scale of the SF-36 and 55.4 on the Mental Component Scale. On the EQ-5D patients scored a median of 0.8 points. Again no statistically significant differences were observed between the three subgroups. Socio-economic status was the only statistically significant predictor of worse functional outcome (beta: 4.06, 95% CI: 0.50-7.62) after multivariable analysis. Interpretation: Good midterm outcomes following in terms of functional outcome and in quality of life are observed. We observed no statistical significant difference in functional outcome between patients with ORIF and patients with primary arthrodesis. The only predictor of worse functional outcome is a lower socio-economic status. (C) 2017 Elsevier Ltd. All rights reserved

Original language	English
Pages (from-to)	2336-2341
Journal	Injury
Volume	48
Issue number	10
Early online date	2017
DOIs	https://doi.org/10.1016/j.injury.2017.08.027
Publication status	Published - 2017

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https://doi.org/10.1016/j.injury.2017.08.027

Cite this

@article{f9c1d4a3fd1548ff9449ce763bf82f92,

title = "Outcome following osteosynthesis or primary arthrodesis of calcaneal fractures: A cross-sectional cohort study",

abstract = "Background: Calcaneal fractures are uncommon and have a substantial impact on hindfoot function and quality of life. Several surgical treatment options are available; both in surgical approach and type of operation. The aim of this study was to compare functional outcome and quality of life following ORIF and primary arthrodesis. Furthermore, predictors of worse functional outcome were explored. Methods: A retrospective cross-sectional cohort study was performed in patients with surgical fixation of a calcaneal fracture with a minimum follow-up of 18 months. Patients received ORIF through the 1) Extended Lateral Approach (ELA), 2) Sinus Tarsi Approach (STA) or 3) primary arthrodesis via STA. Participants were presented a questionnaire containing demographics, the AOFAS hindfoot scale, Foot Function Index, SF-36, EQ-5D and patient satisfaction. Results: In total 95 patients participated in this study. The three groups were comparable regarding patient characteristics. A median score of 74.5 points on the AOFAS hindfoot scale and 11.9 on the FFI was found for the entire group. There were no statistically significant differences between patients with ORIF of primary arthrodesis. Patients scored a median of 49.0 on the Physical Component Scale of the SF-36 and 55.4 on the Mental Component Scale. On the EQ-5D patients scored a median of 0.8 points. Again no statistically significant differences were observed between the three subgroups. Socio-economic status was the only statistically significant predictor of worse functional outcome (beta: 4.06, 95% CI: 0.50-7.62) after multivariable analysis. Interpretation: Good midterm outcomes following in terms of functional outcome and in quality of life are observed. We observed no statistical significant difference in functional outcome between patients with ORIF and patients with primary arthrodesis. The only predictor of worse functional outcome is a lower socio-economic status. (C) 2017 Elsevier Ltd. All rights reserved",

author = "Dingemans, {Siem A.} and Meijer, {Sjoerd T.} and Manouk Backes and {de Jong}, {Vincent M.} and Luitse, {Jan S. K.} and Tim Schepers",

year = "2017",

doi = "https://doi.org/10.1016/j.injury.2017.08.027",

language = "English",

volume = "48",

pages = "2336--2341",

journal = "Injury",

issn = "0020-1383",

publisher = "Elsevier Limited",

number = "10",

}

TY - JOUR

T1 - Outcome following osteosynthesis or primary arthrodesis of calcaneal fractures: A cross-sectional cohort study

AU - Dingemans, Siem A.

AU - Meijer, Sjoerd T.

AU - Backes, Manouk

AU - de Jong, Vincent M.

AU - Luitse, Jan S. K.

AU - Schepers, Tim

PY - 2017

Y1 - 2017

N2 - Background: Calcaneal fractures are uncommon and have a substantial impact on hindfoot function and quality of life. Several surgical treatment options are available; both in surgical approach and type of operation. The aim of this study was to compare functional outcome and quality of life following ORIF and primary arthrodesis. Furthermore, predictors of worse functional outcome were explored. Methods: A retrospective cross-sectional cohort study was performed in patients with surgical fixation of a calcaneal fracture with a minimum follow-up of 18 months. Patients received ORIF through the 1) Extended Lateral Approach (ELA), 2) Sinus Tarsi Approach (STA) or 3) primary arthrodesis via STA. Participants were presented a questionnaire containing demographics, the AOFAS hindfoot scale, Foot Function Index, SF-36, EQ-5D and patient satisfaction. Results: In total 95 patients participated in this study. The three groups were comparable regarding patient characteristics. A median score of 74.5 points on the AOFAS hindfoot scale and 11.9 on the FFI was found for the entire group. There were no statistically significant differences between patients with ORIF of primary arthrodesis. Patients scored a median of 49.0 on the Physical Component Scale of the SF-36 and 55.4 on the Mental Component Scale. On the EQ-5D patients scored a median of 0.8 points. Again no statistically significant differences were observed between the three subgroups. Socio-economic status was the only statistically significant predictor of worse functional outcome (beta: 4.06, 95% CI: 0.50-7.62) after multivariable analysis. Interpretation: Good midterm outcomes following in terms of functional outcome and in quality of life are observed. We observed no statistical significant difference in functional outcome between patients with ORIF and patients with primary arthrodesis. The only predictor of worse functional outcome is a lower socio-economic status. (C) 2017 Elsevier Ltd. All rights reserved

AB - Background: Calcaneal fractures are uncommon and have a substantial impact on hindfoot function and quality of life. Several surgical treatment options are available; both in surgical approach and type of operation. The aim of this study was to compare functional outcome and quality of life following ORIF and primary arthrodesis. Furthermore, predictors of worse functional outcome were explored. Methods: A retrospective cross-sectional cohort study was performed in patients with surgical fixation of a calcaneal fracture with a minimum follow-up of 18 months. Patients received ORIF through the 1) Extended Lateral Approach (ELA), 2) Sinus Tarsi Approach (STA) or 3) primary arthrodesis via STA. Participants were presented a questionnaire containing demographics, the AOFAS hindfoot scale, Foot Function Index, SF-36, EQ-5D and patient satisfaction. Results: In total 95 patients participated in this study. The three groups were comparable regarding patient characteristics. A median score of 74.5 points on the AOFAS hindfoot scale and 11.9 on the FFI was found for the entire group. There were no statistically significant differences between patients with ORIF of primary arthrodesis. Patients scored a median of 49.0 on the Physical Component Scale of the SF-36 and 55.4 on the Mental Component Scale. On the EQ-5D patients scored a median of 0.8 points. Again no statistically significant differences were observed between the three subgroups. Socio-economic status was the only statistically significant predictor of worse functional outcome (beta: 4.06, 95% CI: 0.50-7.62) after multivariable analysis. Interpretation: Good midterm outcomes following in terms of functional outcome and in quality of life are observed. We observed no statistical significant difference in functional outcome between patients with ORIF and patients with primary arthrodesis. The only predictor of worse functional outcome is a lower socio-economic status. (C) 2017 Elsevier Ltd. All rights reserved

U2 - https://doi.org/10.1016/j.injury.2017.08.027

DO - https://doi.org/10.1016/j.injury.2017.08.027

M3 - Article

C2 - 28843716

SN - 0020-1383

VL - 48

SP - 2336

EP - 2341

JO - Injury

JF - Injury

IS - 10

ER -