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

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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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Authors and Affiliations

  1. Department of Orthopaedics, University of Verona, Policlinico G.B. Rossi, P.le L.A. Scuro n.10, 37134, Verona, Italy

    Bruno Magnan, Elena Samaila, Dario Regis, Michele Merlini & Pietro Bartolozzi

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  1. Bruno Magnan
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  2. Elena Samaila
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  3. Dario Regis
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  4. Michele Merlini
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  5. Pietro Bartolozzi
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Correspondence to Bruno Magnan.

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Magnan, B., Samaila, E., Regis, D. et al. Association between CT imaging at follow-up and clinical outcomes in heel fractures. Musculoskelet Surg 94, 113–117 (2010). https://doi.org/10.1007/s12306-010-0081-8

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  • DOI: https://doi.org/10.1007/s12306-010-0081-8

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