[Dislocated intra-articular calcaneus XXXX . Long-term follow-up after open reposition and osteosynthesis].

@entity1 @entity174 @entity6044 @entity4040 @entity128 @entity6865 @entity281 @entity7334 @entity130
A series of 98 @entity1 with a total of 105 @entity7334 were operated on during a 10-year period between 1983 and 1992. We were able to follow up 60 @entity1 with 64 @entity174 an average of 44 months (range, 18-105 months) postoperatively. At the time of follow up, 83.9% of @entity1 had been back to work, 78.6% with the same employer as before. Five of the @entity1 followed up had had to retire from work; each of these had one or more severe coexisting @entity130 . A compromising @entity128 occurred postoperatively in 3 out of 58 @entity1 with @entity6044 , in all cases following surgery with a medial or bilateral approach. In only 1 of the 58 @entity1 followed up after @entity6044 did a @entity281 requiring arthrodesis occur. One @entity1 had sympathetic @entity6865 (Sudeck). A good functional result in the lower ankle joint correlated with a good outcome. In contrast, postoperative improvement of the tuber angle and the degree of @entity4040 seen radiographically did not. We conclude that operative repair of intraarticular calcaneal @entity174 is a procedure that can safely be procedure used to restore the ability to work in the majority of @entity1 . The medial approach should preferably not be used, nor should the metal be extracted from the medial approach if this can be avoided.
