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Published in: MUSCULOSKELETAL SURGERY 3/2010

01-12-2010 | Original Article

Association between CT imaging at follow-up and clinical outcomes in heel fractures

Authors: Bruno Magnan, Elena Samaila, Dario Regis, Michele Merlini, Pietro Bartolozzi

Published in: MUSCULOSKELETAL SURGERY | Issue 3/2010

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Abstract

The reliability of CT data for calcaneal fractures was evaluated, quantifying five CT parameters and investigating their association with clinical outcomes. Fifty-four intra-articular calcaneal fractures surgically treated were considered. Vertical and longitudinal alignment, calcaneal body height, position of sustentaculum tali and subtalar joint congruity were evaluated at 49 months (27–94) follow-up. Each parameter was then quantified and its association with the clinical outcome assessed by the Maryland Foot Score was evaluated. Better clinical outcomes showed a significant association with vertical/longitudinal realignment and with restoration of the calcaneal height. No significant association emerged with reconstruction of the thalamic joint facet congruity. Three-dimensional reconstruction of the calcaneus, in terms of vertical and longitudinal alignment, restoration of the height of the heel body even irrespective of a perfect joint congruity, seems today to be the main goal of the treatment.
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Metadata
Title
Association between CT imaging at follow-up and clinical outcomes in heel fractures
Authors
Bruno Magnan
Elena Samaila
Dario Regis
Michele Merlini
Pietro Bartolozzi
Publication date
01-12-2010
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue 3/2010
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-010-0081-8

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