OTA 2013: Open reduction and internal fixation compared to primary subtalar fusion .
Open Reduction and Internal Fixation Compared With Primary Subtalar Fusion for Treatment of Sanders Type IV Calcaneal Fractures: A Randomized Multicenter Clinical Trial
31 patients with Sanders type IV displaced intra-articular calcaneal fractures were randomized to compare the efficacy of open reduction and internal fixation (ORIF), and primary subtalar fusion (PSF), over 2-7 years. Patients were assessed using the Short Form-36 version 2 (SF-36); the Musculoskeletal Function Assessment Survey (MFA); the American Orthopaedic Foot & Ankle Society’s Ankle-Hindfoot Scale (AHS); and the visual analog scale (VAS). The evidence presented in this study demonstrates that the two interventions are comparable for the long-term health outcomes of Sanders type IV displaced intra-articular calcaneal fracture treatment.
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