The effect of treatment protocol on calcaneus bone mineral densitometry after intra-articular calcaneal fractures
Journal Title: The European Research Journal - Year 2016, Vol 2, Issue 2
Abstract
Objective. To identify the effect of treatment protocol on calcaneus bone mineral density of calceneal fractures treated with different methods. Methods. Sixty-three patients with intra-articular calcaneal fractures were observed prospectively. Patients were classified according to their treatment protocols such as; conservative treatment with short leg plaster cast (Group C), closed reduction and fixation with cannulated screws (Group S) and open reduction internal fixation with plate and screws (Group P). All patients’ bilateral radiographies, CT scans, the American Orthopaedic Foot and Ankle Society (AOFAS) scores and calcaneus bone mineral density measurements by G&E Archilles Quantitative Ultrasound method were obtained at 15th month of follow up period. Results. Fourteen (22%) patients were female and 49 (88%) were male. The mean age was 43.7±12.1 years. The mean follow-up was 33.7±14.7 months. Bone mineral density measurements were calculated as; t scores; -1.48±1.24 for group C, -1.48±1.31 for group S, -0.27±1.68 for group P and z scores; -0.18±1.41 for group C, -0.17±1.9 for group S, 0.96 ± 1.54 for group P. Group P had the higher t and z scores of injured sides than other groups (p=0.008 and p=0.026, respectively). Average AOFAS scores were 78.13±13.04 in group S, 82.58±10.81 in group P and 79.82±11.75 in group C. No significant differences were detected between groups regarding AOFAS scores. Conclusion. Measurement of calcaneus bone mineral density which we used in our study is a method for evaluation of calcaneal fracture treatments and higher density values were found in open reduction and internal fixation group. This may be owing to better control of defect with the allograft and early mobilization by the evident improvement in angular correction.
Authors and Affiliations
Faruk Mehmet Catma, Serhan Unlu, Ubeydullah Sevgili, Alper Ozturk, Sinan Yuksel, Murat Altay
Keywords
Related Articles
- EP ID EP194912
- DOI 10.18621/eurj.2016.5000139764
- Views 101
- Downloads 0
Clinical importance of preoperative fine needle aspiration biopsy and computed tomography in parotid gland masses
Objectives. To determine the diagnostic value of fine needle aspiration biopsy (FNAB) and computed tomography (CT) in parotid masses in the basis of postoperative histopathological results. Methods. The records of 68 pat...
The association of carotid intima-media thickness with body mass index and cortisol level in fibromyalgia syndrome
Objectives: Patients with fibromyalgia syndrome (FMS) may have the risk for atherosclerotic disease because of chronic stress, disrupted neuroendocrine axis, high BMI and inflammation. This is study aimed to research the...
The frequency of nodular gastritis in adult patients and the relation of this type of gastritis with Helicobacter pylori and histopathologic findings
Objectives: Endoscopic nodular gastritis is usually used to describe the miliary nodular appearance of the gastric mucosa during endoscopy. Recent studies have shown that nodular gastritis is closely related to Helicobac...
The importance of red cell distribution width and neutrophil-lymphocyte ratio as a new biomarker in rheumatoid arthritis
Objectives: Rheumatoid arthritis (RA) is a long-lasting autoimmune disorder that primarily affects the joints. Various biomarkers have been used for the prognosis and clinical follow-up. There are few studies that have i...
The effect of perimenopausal estrogen levels on depression and anxiety: a pilot study
Objectives. Among women in the perimenopausal period, rapid hormonal changes can be seen. In the present study, we aimed to investigate the relationship between depression, anxiety and changing estrogen hormone levels at...