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Iran Red Crescent Med J. 2013 Oct;15(10):e11378. doi: 10.5812/ircmj.11378. Epub 2013 Oct 5.

Comparative study of peroneal tenosynovitis as the complication of intraarticular calcaneal fracture in surgically and non-surgically treated patients.

Author information

  • 1Mashhad Orthopedic and Trauma Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 2Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 3Orthopedic and Trauma Research Center, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 4Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 5York University, School of Kinesiology & Health Sciences, Toronto, Canada.

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 economical 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.

KEYWORDS:

Boehelr Angle; Calcaneus; Gissane Angle; Tenosynovitis; Zygapophyseal Joint

PMID:
24693362
[PubMed]
PMCID:
PMC3950774
Free PMC Article
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