Review Article: Operative versus Non-Operative Treatment for Displaced Intra-Articular Calcaneal Fracture: A Meta-Analysis of Randomised Controlled Trials
Free accessReview articleFirst published online December, 2016
Review Article: Operative versus Non-Operative Treatment for Displaced Intra-Articular Calcaneal Fracture: A Meta-Analysis of Randomised Controlled Trials
We reviewed 8 randomised controlled trials that compared operative and non-operative treatment for displaced intra-articular calcaneal fractures. Patients with operative treatment were more likely to resume pre-injury work (relative risk [RR]=0.60, p=0.04), had fewer problems when wearing shoes (RR=0.42, p=0.0004), and had a higher physical component summary score of SF-36 (difference in means=6.75, p<0.0001) but a higher complication rate (RR=1.74, p=0.0005).
McBrideDJ, RammamurthyC, LaingP. The Hindfoot: Calcaneus and talar fractures and dislocations. Part I: Fractures of the calcaneum. Curr Orthop2005;19:94–100.
6.
BuckleyR, ToughS, McCormackR, PateG, LeightonR, PetrieD, GalpinR. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: A Prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am2002;84:1733–44.
7.
BruceJ, SutherlandA. Surgical versus conservative interventions for displaced intra-articular calcaneal fractures. Cochrane Database Syst Rev2013;1:CD008628.
8.
GougouliasN, KhannaA, McBrideDJ, MaffulliN. Management of calcaneal fractures: Systematic review of randomized trials. Br Med Bull2009;92:153–67.
9.
GriffinD, ParsonsN, ShawE, KulikovY, HutchinsonC, ThorogoodM. Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: Randomised controlled trial. BMJ2014;349:g4483.
10.
OremusM, WolfsonC, PerraultA, DemersL, MomoliF, MorideY. Interrater reliability of the modified Jadad quality scale for systematic reviews of Alzheimer's disease drug trials. Dement Geriatr Cogn Disord2001;12:232–6.
11.
AgrenPH, WretenbergP, Sayed-NoorAS. Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures: A Prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am2013;95:1351–7.
12.
ThordarsonDB, KriegerLE. Operative vs. nonoperative treatment of intra-articular fractures of the calcaneus: A Prospective randomized trial. Foot Ankle Int1996;17:2–9.
13.
O'FarrellDA, O'ByrneJM, McCabeJP, StephensMM. Fractures of the os calcis: Improved results with internal fixation. Injury1993;24:263–5.
14.
IbrahimT, RowsellM, RennieW, BrownAR, TaylorGJ, GreggPJ. Displaced intra-articular calcaneal fractures: 15-year follow-up of a randomised controlled trial of conservative versus operative treatment. Injury2007;38:848–55.
15.
ParmarHV, TriffittPD, GreggPJ. Intra-articular fractures of the calcaneum treated operatively or conservatively. A prospective study. J Bone Joint Surg Br1993;75:932–7.
16.
NouraeiMH, MoosaFM. Operative compared to non-operative treatment of displaced intra-articular calcaneal fractures. J Res Med Sci2011;16:1014–9.
17.
LeungKS, YuenKM, ChanWS. Operative treatment of displaced intra-articular fractures of the calcaneum. Medium-term results. J Bone Joint Surg Br1993;75:196–201.
18.
WareJEJr, SherbourneCD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care1992;30:473–83.
19.
KitaokaHB, AlexanderIJ, AdelaarRS, NunleyJA, MyersonMS, SandersM. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int1994;15:349–53.
20.
RammeltS, ZwippH. Fractures of the calcaneus: Current treatment strategies. Acta Chir Orthop Traumatol Cech2014;81:177–96.
21.
SoniA, VollansS, MalhotraK, MannC. Association between smoking and wound infection rates following calcaneal fracture fixation. Foot Ankle Spec2014;7:266–70.
22.
WallinKJ, CozzettoD, RussellL, HallareDA, LeeDK. Evidence-based rationale for percutaneous fixation technique of displaced intra-articular calcaneal fractures: A Systematic review of clinical outcomes. J Foot Ankle Surg2014;53:740–3.
23.
TomesenT, BiertJ, FrolkeJP. Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation. J Bone Joint Surg Am2011;93:920–8.
24.
SchepersT, PatkaP. Treatment of displaced intra-articular calcaneal fractures by ligamentotaxis: Current concepts' review. Arch Orthop Trauma Surg2009;129:1677–83.
25.
DeWallM, HendersonCE, McKinleyTO, PhelpsT, DolanL, MarshJL. Percutaneous reduction and fixation of displaced intra-articular calcaneus fractures. J Orthop Trauma2010;24:466–72.
26.
WoonCY, ChongKW, YeoW, YeoN Eng-Meng, WongMK. Subtalar arthroscopy and fluoroscopy in percutaneous fixation of intra-articular calcaneal fractures: The best of both worlds. J Trauma2011;71:917–25.
27.
RammeltS, AmlangM, BarthelS, GavlikJM, ZwippH. Percutaneous treatment of less severe intraarticular calcaneal fractures. Clin Orthop Relat Res2010;468:983–90.
