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Assessment of Function in Patients after Calcaneal Fracture Treatment with the Ilizarov Method.
Pelc, Marcin; Hryniuk, Wladyslaw; Bobinski, Andrzej; Kochanska-Bieri, Joanna; Tomczyk, Lukasz; Pili, Daniele; Urbanski, Wiktor; Lech, Marcin; Morasiewicz, Piotr.
Afiliación
  • Pelc M; Institute of Medical Sciences, Opole University, 45-401 Opole, Poland.
  • Hryniuk W; Institute of Medical Sciences, Opole University, 45-401 Opole, Poland.
  • Bobinski A; Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, 45-401 Opole, Poland.
  • Kochanska-Bieri J; Universitätsspital CH, University of Basel, 4031 Basel, Switzerland.
  • Tomczyk L; Department of Food Safety and Quality Management, Poznan University of Life Sciences, 60-637 Poznan, Poland.
  • Pili D; Orthopedic and Trauma Department, G B. Mangioni Hospital, 23900 Lecco, Italy.
  • Urbanski W; Department of Neurosurgery, Wroclaw Medical University, 50-556 Wroclaw, Poland.
  • Lech M; Department of Orthopaedics, Traumatology and Hand Surgery, Wroclaw Medical University, 50-556 Wroclaw, Poland.
  • Morasiewicz P; Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, 45-401 Opole, Poland.
J Clin Med ; 13(16)2024 Aug 09.
Article en En | MEDLINE | ID: mdl-39200813
ABSTRACT

Background:

Up to 75% of calcaneal fractures are intra-articular fractures, which may severely impair foot function and lead to disability.

Methods:

We retrospectively analyzed 21 patients with intra-articular calcaneal fractures who had been treated with the Ilizarov method in the period 2021-2022. The mean patient age was 47 years (range 25-67 years). We analyzed the following functional parameters foot function with a revised foot function index (FFI-R) questionnaire and the level of physical activity, with the University of California Los Angeles (UCLA) activity scale, a visual analog scale (VAS), and a Grimby physical activity level scale; and ankle range of motion.

Results:

We observed a significant improvement in the UCLA activity scores and Grimby activity score at long-term follow-up. Functional outcomes based on the FFI-R questionnaires showed an improvement, from 292 points prior to surgery to 127 points at follow-up, p = 0.013. The post-treatment follow-up measurements revealed a median dorsiflexion at the treated ankle joint of 20 degrees, whereas that at the intact ankle was 40 degrees, p = 0.007. The plantar flexion showed asymmetry, with a median 15 degrees at the treated ankle and 30 degrees at the intact ankle, p = 0.007. The median range of inversion at the ankle joint was 5 degrees in the treated limb and 15 degrees in the intact limb, p = 0.039.

Conclusions:

Patients with calcaneal fractures treated with the Ilizarov method are recommended to have a longer and more intensive rehabilitation. The range of ankle motion in the treated limb was limited in comparison with that in the intact limb; however, this did not greatly affect the patients' return to their earlier, pre-injury level of physical activity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza