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See Latest ArticlesManagement of calcaneal fractures: systematic review of randomized trials
British Medical Bulletin, 09/09/09
Gougoulias N et al. – Results showed no difference in residual pain, but favoured surgical management on ability to return to the same work and to wear the same shoes as before the fracture. Surgery reduced the need for subsequent subtalar fusion. workers’ compensation affected outcome. It is unclear whether general health outcome measures, injury specific scores and radiographic parameters improve after operative management, and whether the benefits of surgery outweigh the risks. There is still a need for a carefully designed large–scale trial comparing surgery and non–operative management. Other forms of fixation (external fixation or minimally invasive internal fixation) should be compared with ‘conventional’ surgery. Trials investigating joint reconstruction versus primary subtalar fusion for highly comminuted fractures, and impulse compression versus placebo could be of value.
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