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Study links ROM after calcaneal fracture with patient-reported function, quality of reduction
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Results of this study correlated the postoperative subtalar range of motion in patients who underwent open surgery for calcaneal fractures with Foot and Ankle Disability Index and SF-36 physical component summary scores and the subtalar joint quality of reduction as analyzed on postoperative CT scans.
Six months after open reduction and internal fixation, 13 patients with calcaneal fractures underwent gait analysis with the Oxford foot model. Results were then compared with 17 healthy patients and eight patients who underwent subtler arthrodesis. Investigators collected American Orthopaedic Foot and Ankle Society Ankle Hindfoot Scale, Foot and Ankle Disability Index (FADI), SF-36 and VAS pain scores. Two independent observers evaluated preoperative and postoperative radiographs and CT scans.
Findings showed the range of motion from the hindfoot and tibia and from the forefoot to tibia during the push-off phase in the transverse place was significantly associated with FADI patient-reported clinical outcomes and SF-36 physical component summary (PCS) scores. Analysis of postoperative CT scans and hindfoot to tibia range of motion showed a significant correlation between subtalar joint in the step-off phase and range of motion.
Investigators noted there was also an association between FADI and SF-36 PCS scores and the step-off phase. However, no association was seen between FADI and posterior facet intra-articular gap.‒ by Monica Jaramillo
Disclosures: van Hoeve reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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