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lüll Fractures of the calcaneum A review of 70 patients Paul M; Peter R; Hoffmeyer PJ Bone Joint Surg Br 2004[Nov]; 86 (8): 1142-5We have assessed the long-term results after operative and non-operative treatment of undisplaced and displaced calcaneal fractures. At a mean of 6.5 years, we reviewed 70 patients with a calcaneal fracture who were divided into four groups: group 1, 18 patients with undisplaced fractures and a normal Bohler's angle (BA) who had been treated non-operatively; group 2, 23 with intra-articular fractures and a BA < 10 degrees who had been treated non-operatively; group 3, 13 with intra-articular fractures and a BA > 10 degrees who had been treated surgically; and group 4, 16 with intra-articular fractures and a BA < 10 degrees who had been treated surgically. The results were assessed by a clinical score considering pain, return to work, return to physical activity, change in shoe-wear and the requirement for subtalar arthrodesis. Patients with undisplaced calcaneal fractures had a good outcome. Those with displaced fractures treated surgically who presented at follow-up with a BA > 10 degrees had a satisfactory functional outcome and those with displaced fractures who had non-operative treatment had a poor outcome. The poorest outcome was consistently seen in patients who were treated operatively without restoration of BA. Open reduction and internal fixation of intra-articular calcaneal fractures can only be expected to benefit those patients in whom nearly anatomical reconstruction is obtained.|Adult[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Calcaneus/diagnostic imaging/*injuries[MESH]|Female[MESH]|Fractures, Bone/diagnostic imaging/*therapy[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Radiography[MESH]|Treatment Outcome[MESH] |