Complications following management of displaced XXXX : a prospective randomized trial comparing @entity1538 with nonoperative management.

@entity1 @entity1538 @entity174 @entity7334 @entity130
OBJECTIVE: To report on all complications experienced by @entity1 with displaced @entity7334 (DIACFs) following nonoperative management or @entity1538 ( @entity1538 ). DESIGN: Prospective, randomized, multicenter study. SETTING: Four level I @entity130 centers. @entity1 : The @entity1 population consisted of consecutive @entity1 , age 17 to 65 at the time of injury, presenting to 1 of the centers with DIACFs between April 1991 and December 1998. INTERVENTIONS: @entity1 were randomized to the nonoperative treatment group or to operative reduction using a lateral approach to the calcaneus. MAIN OUTCOME MEASUREMENTS: Follow-up for @entity1 was at 2 weeks, 6 weeks, 3 months, 12 months, 24 months, and once greater than 24 months following injury. At each follow-up interval, @entity1 were assessed for the development of major and minor complications. After a minimum of 2-year follow-up, @entity1 were asked to fill out a validated visual analogue scale questionnaire (VAS) and a general health review (SF-36). RESULTS: There were 226 DIACFs (206 @entity1 ) in the @entity1538 group with 57 of 226 (25%) @entity174 (57 of 206 @entity1 [28%]) having at least 1 major complication. Of 233 @entity174 (218 @entity1 ) nonoperatively managed, 42 (18%) (42 of 218 @entity1 [19%]) developed at least 1 major complication (indirectly resulting in surgery). CONCLUSION: Complications occur regardless of the management strategy chosen for DIACFs and despite management by experienced surgeons. Complications are a cause of significant morbidity for @entity1 . Outcome scores in this study tend to support @entity1538 for calcaneal @entity174 . However, @entity1538 @entity1 are more likely to develop complications. Certain @entity1 populations (WCB and Sanders type IV) developed a high incidence of complications regardless of the management strategy chosen.
