Review Question - QID 872

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Calcaneus Fractures Treatment Operative QID: 872 (OBQ07.211)

QID 872 (Type "872" in App Search)

In the treatment of intra-articular calcaneal fractures, surgical reduction and fixation has been shown to have improved outcomes over nonoperative treatment in all of the following patient groups EXCEPT:

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Sedentary job

19%

296/1550

Sanders IIb fractures

107/1550

Women

103/1550

Younger age (<29 years old)

103/1550

Previous calcaneus fracture

60%

934/1550

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The referenced study by Buckley et al is a prospective study of intra-articular calcaneus fractures at several trauma centers. They found that overall, the outcomes after nonoperative treatment were not different from those after operative treatment. However, when stratifying groups, women who were managed operatively scored significantly higher on the SF-36 than did women who were managed nonoperatively. Also, patients who were less than twenty-nine years old, had a Böhler angle of 0 degrees to 14 degrees, a comminuted fracture, or a light workload did better after surgery compared with those who were treated nonoperatively.