Ergebnisse nach Osteosynthese intraartikulärer Kalkaneusfrakturen mit der „Low contact” Platte

Abstract

Calcaneus fractures are a major cause of accident- related invalidity. Long-term results are unsatisfactory with various therapy concepts as reported in the literature. Objective of this study is the long-term clinical and radiological outcome of a patient group treated with a low contact plate. Subjective assessment of function by the patient was an important evaluation criterion. From 01/92 to 12/98 a total of 182 patients with 209 calcaneus fractures were treated. Out of them 95 patients with 109 calcaneus fractures had a follow-up over a period ranging from 6 to 88 months (average 37.9 months). Severe impairment of walking was reported by 34.7 % of the patients. Severe impairment for work was declared by 68.4 % of the patients. 74.7 % of the patients complained middle or severe burden-pain. 64.3 % of the patients felt their quality of life impaired. After the injury 75.8 % of the patients were still employed. Arthrosis of the inferior ankle joint was found in 91.5 % of the cases. Within this collective three patient groups were formed with different follow-up periods to evaluate the temporal course, showing no significant differences. Frequently good functional and subjective results cannot be expected even with standardized operative procedures.

Prognostic Value of Four Classifications of Calcaneal Fractures

“…2,21,59 The fact that most injured parties are male industrial workers, such as roofers, painters, plasterers, bricklayers and joiners, matches other reports. 3,4,6,14,16,19,20,21,33,53 The majority of fractures were due to working accidents (51.6%) which is consistent with earlier publications. 3,24,46 The data support the observations made by Bradley et al 8 , emphasizing that the mean age of the women at the time of the injury is higher than that of the men because of their falls in the postmenopausal age.…”