Surgical treatment more effective than nonsurgical treatment for calcaneal fractures .
Surgical versus nonsurgical treatment of displaced intra-articular calcaneal fracture: a meta-analysis of current evidence base
Int Orthop. 2012 Aug;36(8):1615-22. Epub 2012 May 11This meta-analysis identified 10 studies (891 patients) that assessed the use of surgical treatment versus nonsurgical treatment of displaced intra-articular calcaneal fractures (DIACF). The results indicated that surgical treatment was significantly better at recovering the Bohler angle and produced a more stable calcaneal height and width. Also, fewer surgical patients required larger shoe sizes, and a greater number of patients were able to resume pre-injury work. There were no significant residual pain differences between the surgical and nonsurgical treatment; however, surgical treatment was associated with a higher risk of complication.
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