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Review Question - QID 930

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QID 930 (Type "930" in App Search)
Which of the following patients who sustained a calcaneal fracture will most likely undergo an eventual subtalar fusion?

Male worker's compensation patient who participates in heavy labor work with an initial Böhler angle less than 0 degrees

82%

1328/1622

Female worker's compensation patient who participates in heavy labor work with an initial Böhler angle >15 degrees

2%

30/1622

Male non-worker's compensation patient who participates in heavy labor work with an initial Böhler angle less than 0 degrees

6%

92/1622

Male worker's compensation patient who participates in heavy labor work with an initial Böhler angle >15 degrees

8%

129/1622

Female non-worker's compensation patient who participates in heavy labor work with an initial Böhler less than 0 degrees

2%

30/1622

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The Level 2 study by Czisy et al is a review of a randomized trial database that analyzed the prospective clinical outcome of 45 patients who failed closed or open treatment of a displaced intra-articular calcaneal fractures. The cohort underwent a subtalar fusion by distraction bone-block arthrodesis for subtalar arthritis. They found that male worker's compensation patients who participate in heavy labor work with a fracture pattern with Böhler angle less than 0 degrees were the most likely to undergo a subtalar fusion.

The meta-analysis by Randle et al reviewed 6 clinical studies comparing the results of operative vs. conservative management of calcaneal fracture studies. They found a trend for nonoperatively treated patients to have a higher risk of experiencing severe foot pain than did operatively treated patients, however they could not draw any definitive conclusions guiding treatment.

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