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Paper Information

Journal:   IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)   OCTOBER 2013 , Volume 15 , Number 10; Page(s) 0 To 0.
 
Paper: 

COMPARATIVE STUDY OF PERONEAL TENOSYNOVITIS AS THE COMPLICATION OF INTRAARTICULAR CALCANEAL FRACTURE IN SURGICALLY AND NON-SURGICALLY TREATED PATIENTS

 
 
Author(s):  BAHARI KASHANI MAHMOUD, KACHOOEI AMIR REZA, EBRAHIMI HENGAMEH, PEIVANDI MOHAMMAD TAGHI*, AMELFARZAD SARA, BEKHRADIANPOOR NASTOOR, AZAMI MEHRAN, FATEHI AMIRREZA, BAHARI KASHANI GOLSA
 
* MASHHAD ORTHOPEDIC AND TRAUMA RESEARCH CENTER, FACULTY OF MEDICINE, MASHHAD UNIVERSITY OF MEDICAL SCIENCES, MASHHAD, IR
 
Abstract: 

Background: Calcaneus has the most fracture prevalence among tarsal bones. About 3/4 of calcaneal fractures are intra-articular fractures with displacement. The majority of calcaneal fractures occur in 21 - 35 year old young men, and that are mostly active people, these fractures cause complete disability for 15 months. Moreover, inappropriate treatment leads to lots of social and economic damages.
Objectives: In this study we compared the incidence and the severity of peroneal tenosynovitis as a complication of non-operative and operative treatment of intra-articular calcaneal fractures. In this study, some other complications of this fracture were also analyzed and the prevalence of the complication was higher in non-operated patients. Patients and Methods: A total of 140 patients with intra-articular calcaneal fracture were analyzed prospectively. These patients were divided into 2 groups: operated group and non-operated group.
Results: In non-operated group (56 patients), 22 patients were complicated by peroneal tenosynovitis. In operated group (84 patients), 8 patients had the same complication. Statistical analysis revealed that the prevalence, and the severity of this complication in the mentioned groups had a meaningful difference. The results in operated group were much better than the non-operated one.
Conclusions: Although some of the orthopedic surgeons are not interested to manage these fractures surgically and most of them treat these cases conservatively (casting, etc.), in most displaced intra-articular calcaneal fractures, surgical treatment is the method of choice. Moreover, in non-surgical treatment the prevalence of these complications among the patients is more and as a result, inevitable social, occupational and familial damages occur.

 
Keyword(s): CALCANEUS, ZYGAPOPHYSEAL JOINT, GISSANE ANGLE, BOEHELR ANGLE, TENOSYNOVITIS
 
References: 
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