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. 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

Mahmoud Bahari Kashani  1 , Amir Reza Kachooei  1 , Hengameh Ebrahimi  2 , Mohammad Taghi Peivandi  1 , Sara Amelfarzad  2 , Nastoor Bekhradianpoor  3 , Mehran Azami  4 , Amirreza Fatehi  4 , Golsa Bahari Kashani  5
Affiliations

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

Mahmoud Bahari Kashani et al. Iran Red Crescent Med J. 2013 Oct.

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.

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