Department of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern Linz + Department of Orthopedic Surgery, Clinic Diakonissen Schladming.
AUVA Trauma Centre Linz.
Sportverletz Sportschaden. 2022 Jun;36(2):100-110. doi: 10.1055/a-1688-3720. Epub 2022 Mar 28.
Evaluation of different factors in patient quality of life after minimally invasive stabilization of intra-articular calcaneal fractures, including the return-to-sports rate.
Patients with minimally invasive stabilization of intra-articular calcaneal fractures were collected from the database of a Level I trauma center and evaluated in a retrospective and explorative way. The clinical and radiological examination have been done immediately after the operation, after 2 and 6 weeks postoperative and after a minimum follow-up of 2 years. Clinical and radiological examination was performed by applying the American Orthopedic Foot and Ankle Society hindfoot scale score (AOFAS), 36-item Short Form Health Survey (SF-36), the Tegner Activity Scale, the Foot and Ankle Outcome Score (FAOS) and with a questionnaire about pre- and postoperative engagement in sport and recreational activities.
Fourty-nine patients with an isolated uni-lateral fracture of the calcaneus who fulfilled all inclusion criteria were assessed. Fourty-two of them were male and 24 were under the age of 50 years. No statistically significant differences were noted between Sanders I/II and Sanders III/IV in terms of SF-36, AOFAS, FAOS or Tegner-scale. A less satisfying result was noticed in Sanders III/IV patients. General health, pain in FAOS, physical functioning and pain in SF-36 were strongly dependent on Tegner score values. Twenty-nine percent of our study population changed sport activities after injury, whereas 22 percent stopped all kinds of sports. Consequently, our overall return-to-sport rate was 78 percent.
Clinical results including different scores and quality of life parameters in our study population were satisfying. About 80 percent of patients could return to sports, but there are still many patients that were not able to perform sports and physical activities on the same level as before.
评估微创固定关节内跟骨骨折后患者生活质量的不同因素，包括重返运动率。
从一级创伤中心的数据库中收集微创固定关节内跟骨骨折患者，并进行回顾性和探索性评估。临床和影像学检查在术后立即、术后 2 周和 6 周以及至少 2 年的随访后进行。临床和影像学检查采用美国矫形足踝协会后足评分（AOFAS）、36 项简明健康调查（SF-36）、Tegner 活动量表、足踝结局评分（FAOS）以及术前和术后参与运动和娱乐活动的问卷进行。
评估了符合所有纳入标准的 49 例单侧跟骨骨折患者。其中 42 例为男性，24 例年龄在 50 岁以下。在 SF-36、AOFAS、FAOS 或 Tegner 量表方面，Sanders I/II 型和 Sanders III/IV 型之间没有统计学差异。Sanders III/IV 型患者的结果较差。FAOS 中的一般健康、疼痛、SF-36 中的身体机能和疼痛与 Tegner 评分值密切相关。我们研究人群中有 29%的人在受伤后改变了运动活动，而 22%的人停止了所有类型的运动。因此，我们的整体重返运动率为 78%。
我们研究人群中的临床结果包括不同的评分和生活质量参数都令人满意。约 80%的患者能够重返运动，但仍有许多患者无法像受伤前那样进行运动和体育活动。
