Functional Outcomes After Operative Treatment of Calcaneal Fractures: Midterm Review

The purpose of this article is to report midterm follow-up of operatively treated calcaneus fractures. All patients with a calcaneus fracture, treated with open reduction and internal fixation (ORIF) using the extensile lateral approach, were identified. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society’s (AOFAS) ankle–hindfoot assessment, SF-36, and a questionnaire. There were 20 patients (25 fractures): 16 males and four females. The average age was 42 years (range, 16–73 years) and the mean follow-up time was 40 months (range, 13–73 months). The mean AOFAS score was 67.8 (SD D 19.3) and the mean SF-36 score was 55.7 (SD D 26.3). Patients in an motor vehicle accident had more associated injuries. Statistically significantly worse AOFAS scores were noted in patients with ORIF > 21 days after their injury (p D .047). Many lifestyle alterations were found to be present, including change in work, participation in recreational activities, footwear, and use of ambulatory assistive devices. (Journal of Surgical Orthopaedic Advances 25(3):149–156, 2016)
Key words: American Orthopaedic Foot and Ankle Society’s (AOFAS) ankle–hindfoot assessment, calcaneus fracture, open reduction and internal fixation (ORIF); Short Form-36 (SF-36) health survey