1 / 14

* Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology

FUNCTIONAL OUTCOME FOLLOWING CALCANEAL FRACTURE TREATMENT IN DR.SARDJITO GENERAL HOSPITAL. * Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology **Staff of Department of Orthopedics and Traumatology Sardjito General Hospital

miya
Télécharger la présentation

* Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. FUNCTIONAL OUTCOME FOLLOWING CALCANEAL FRACTURE TREATMENT IN DR.SARDJITO GENERAL HOSPITAL * Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology **Staff of Department of Orthopedics and Traumatology Sardjito General Hospital Medical Faculty, GadjahMada University, Jogjakarta

  2. Background • Calcaneal fractures are considered to be  common • These represent approximately 2% of all fractures and 60 % of tarsal bones fractures. • Controversy ?  regarding treatment possible complications and complexity of surgical anatomy. • Calcaneal fractures may have long term consquences in term of pain and disability, • Evaluation of patient ; satisfaction • treatment outcomes in In this studywe evaluated patient functional outcome after treatment of calcaneal fracture. The aim of this study to determine patient satisfaction and functional outcome after calcaneal fracture treatment in the Dr. Sardjito Hospital and their correlation with daily activity problem.⁶

  3. OBJECTIVE To determine the functional outcome after calcanaeal fracture treatment in Sardjito hospital and all patients were evaluated at least 3 months after treatment

  4. SUBJECT Patients with calcaneal fracture that came to Sardjto hospital between August 2010-July 2013

  5. METHODS • This is a observational study. • The subjects were patients with a history of calcaneal fracture treatment in Dr. Sardjito General Hospital between August 2010 to July 2013. • Patients were assessed at least 3 months after operative or non operative treatment. • The diagnoses of calcanel fracture for all the patients were performed by X-ray • Data on patient satisfaction and functional outcome were collected when patients come to orthopedics outpatient clinic or with home visits during the period of November 2010 to November 2013. • The Foot and Ankle Disability Index (FADI) was used for subjective evaluation

  6. FADI SCORE

  7. Result 18 patients were evaluatedMale=11(61.1%) and female=7 (38.9%) Age range from 12-60 years (mean age 41.22 years). Patients satisfaction ( with FADI score ) Patients with extra calcaneal fracture (3) have better score than intracalcaneal fracture (15) (p<0.05) related to severity of the calcaneal fracture?? Operative (3) VS Nonoperative (15) result p<0.05) All patient with operative treatment (3) satisfied with outcome after treatment (100%), Non operative 8 from 15 patients satisfield with the outcome for conservative treatment (53,33%). Rate modified FADI score was 101, 77 ( 88 -114) Excellent (100-136)10 (55.6%) Good (90-99) 5 (27.8%) Satisfactory (<90)3 (16.7%) There were no correlation between patients demographic (age, sex, education) with FADI score and also patient satisfaction

  8. Discussion The long-term outcomes operative vs non operative  the small number of quantities Additional investigation  MVA worse result then fractures because of fall from high Consensus in the current literature regarding the optimal treatment fractures of the calcaneal (-)

  9. TERIMAKASIH

  10. References 1. Buckley RE, Meek RN. Comparison of open versus closed reduction of intra-articular calcaneal fractures: a matched cohort in workmen.JOrthop Trauma 1992;6:216-22. 2.Crosby LA, Fitzgibbons T. Computerized tomography scanning of acute intra-articular fractures of the calcaneus: a new classification system. J Bone Joint Surg [Am] 1990;72-A:852-9. 3.Heckman JD. Fractures and dislocations of the foot. In: Rockwood CA Jr, Green DP, Bucholz RW, eds. Fractures in adults. 3rd ed. Philadelphia, etc: JB Lippincott Co, 1991:175-89. 4.Miller ME. Surgical management of calcaneus fractures: indications and techniques. In: Greene WB, ed. AAOS Instructional Course Lectures. American Academy of Orthopaedic Surgeons, 1990;XXXIX:161-5. 5.Paley D, Hall H. Calcaneal fracture controversies: can we put Humpty Dumpty together again? OrthopClin North Am 1989;20:665-77. 6.Rowe CR, Sakellarides HT, Freeman PA, Sorbie C. Fractures of the oscalcis: a long-term follow-up of 146 patients. J Am Med Assoc 1963;184:920-3. 7.Sanders R, Fortin P, DiPasquale T, et al. The results of operative treatment of displaced intra-articular calcaneal fractures using a CT scan classification. In: Tscherne H, Schatzker J, ed.

More Related