Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures / Mário BAPTISTA in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.218-224 Titre : Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures Type de document : texte imprimé Auteurs : Mário BAPTISTA, Auteur ; Rui PINTO, Auteur ; João TORRES, Auteur Année de publication : 2015 Article en page(s) : p.218-224 Langues : Anglais (eng) Mots-clés : Calcaneus  foo  fracture  outcome assessment  surgery  radiology Résumé : Calcaneus fractures are fairly common and clinically relevant due to their poor outcome. Thus, solving the controversy regarding treatment and outcome prediction should be a target. This study intends to evaluate the predictive ability of common radiologic tools for the surgical outcome of calcaneus fractures, regardless of treatment modality. 44 patients’ records, with operated calcaneus fractures between 2008 and 2013, were retrospectively assessed and imagiology was blindly evaluated. Patients were submitted to percutaneous or open lateral approach. No relevant correlations were found between the measurements on the plain lateral radiograph and the outcome. Fractures were also graded according to the Sanders classification. Type 4 fractures predicted the occurrence of any hazard, such as skin or pain related complications and need for secondary surgery (p = 0.051, odds = 14.00 [CI = 1.30-150.89]). However, it’s still not possible to accurately target patients with high risk of postoperative complications. Until then, follow- up protocols should be maintained indiscriminately. Permalink : ./index.php?lvl=notice_display&id=40563 [article] Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures [texte imprimé] / Mário BAPTISTA, Auteur ; Rui PINTO, Auteur ; João TORRES, Auteur . - 2015 . - p.218-224. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.218-224 Mots-clés : Calcaneus  foo  fracture  outcome assessment  surgery  radiology Résumé : Calcaneus fractures are fairly common and clinically relevant due to their poor outcome. Thus, solving the controversy regarding treatment and outcome prediction should be a target. This study intends to evaluate the predictive ability of common radiologic tools for the surgical outcome of calcaneus fractures, regardless of treatment modality. 44 patients’ records, with operated calcaneus fractures between 2008 and 2013, were retrospectively assessed and imagiology was blindly evaluated. Patients were submitted to percutaneous or open lateral approach. No relevant correlations were found between the measurements on the plain lateral radiograph and the outcome. Fractures were also graded according to the Sanders classification. Type 4 fractures predicted the occurrence of any hazard, such as skin or pain related complications and need for secondary surgery (p = 0.051, odds = 14.00 [CI = 1.30-150.89]). However, it’s still not possible to accurately target patients with high risk of postoperative complications. Until then, follow- up protocols should be maintained indiscriminately. Permalink : ./index.php?lvl=notice_display&id=40563

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