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Inferior midterm results seen in patients with reconstructed hindfoot fractures vs delayed amputation
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Inferior outcomes were seen at 5-year follow-up for patients who had reconstructed hindfoot factures compared with patients who had a delayed amputation, according to a recently published study.
Researchers identified 114 U.K. military patients who sustained 134 fractures of the talus, calcaneus or both during 12 years of conflict in Iraq and Afghanistan. Investigators contacted patients via the telephone and assessed them with the SF-12. Patients who retained their limb also completed the American Academy of Orthopaedic Surgeons foot and ankle outcomes questionnaire. There were 90 fractures at a median of 5 years.
Results showed 62 patients who retained their limb had a median SF-12 physical component score of 45, which was significantly lower compared with patients who underwent delayed amputation after reconstruction (median SF-12 score of 51). Factors correlated with a poor foot and ankle score included negative Bohler’s angle on initial radiograph, coexisting talus and calcaneal fractures, and a tibial plafond fracture with a hindfoot fracture. Compared with amputees, fracture patients with two of these three factors had a significantly lower physical component score. – by Monica Jaramillo
Disclosures: The authors report no relevant financial disclosures.
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