20 Years of Operative Treatment of Displaced Intra-Articular Calcaneal Fractures in a Level-Trauma Center in the Netherlands: Results of Epidemiology and Physical and Functional Outcomes

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Purpose: This study was conducted to study the patient characteristics, classification, treatment, complications and functional outcome of operatively treated displaced intra-articular calcaneal fractures (DIACFs) in a Level-I trauma center in the Netherlands over a period of 20 years.

Methods: Patients with a DIACF, classified as Sanders ≥2 and operatively treated with percutaneous screw fixation (PSF) or open reduction and internal fixation (ORIF) between January 1998 and December 2017 were identified. Pre- and postoperative radiological assessment was performed. Functional outcome, range of motion, and change in footwear were evaluated with the use of the American Orthopaedic Foot & Ankle Society (AOFAS) score and the Maryland foot score (MFS). General health and patient satisfaction was assessed using the Short Form-36 (SF-36) and the visual analog scale (VAS). 

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