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* Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology

FUNCTIONAL OUTCOME FOLLOWING CALCANEAL FRACTURE TREATMENT IN DR.SARDJITO GENERAL HOSPITAL. * Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology **Staff of Department of Orthopedics and Traumatology Sardjito General Hospital

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* Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology

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  1. FUNCTIONAL OUTCOME FOLLOWING CALCANEAL FRACTURE TREATMENT IN DR.SARDJITO GENERAL HOSPITAL * Fahry H, Dewo P** *Resident of Department of Orthopedics and Traumatology **Staff of Department of Orthopedics and Traumatology Sardjito General Hospital Medical Faculty, GadjahMada University, Jogjakarta

  2. Background • Calcaneal fractures are considered to be  common • These represent approximately 2% of all fractures and 60 % of tarsal bones fractures. • Controversy ?  regarding treatment possible complications and complexity of surgical anatomy. • Calcaneal fractures may have long term consquences in term of pain and disability, • Evaluation of patient ; satisfaction • treatment outcomes in In this studywe evaluated patient functional outcome after treatment of calcaneal fracture. The aim of this study to determine patient satisfaction and functional outcome after calcaneal fracture treatment in the Dr. Sardjito Hospital and their correlation with daily activity problem.⁶

  3. OBJECTIVE To determine the functional outcome after calcanaeal fracture treatment in Sardjito hospital and all patients were evaluated at least 3 months after treatment

  4. SUBJECT Patients with calcaneal fracture that came to Sardjto hospital between August 2010-July 2013

  5. METHODS • This is a observational study. • The subjects were patients with a history of calcaneal fracture treatment in Dr. Sardjito General Hospital between August 2010 to July 2013. • Patients were assessed at least 3 months after operative or non operative treatment. • The diagnoses of calcanel fracture for all the patients were performed by X-ray • Data on patient satisfaction and functional outcome were collected when patients come to orthopedics outpatient clinic or with home visits during the period of November 2010 to November 2013. • The Foot and Ankle Disability Index (FADI) was used for subjective evaluation

  6. FADI SCORE

  7. Result 18 patients were evaluatedMale=11(61.1%) and female=7 (38.9%) Age range from 12-60 years (mean age 41.22 years). Patients satisfaction ( with FADI score ) Patients with extra calcaneal fracture (3) have better score than intracalcaneal fracture (15) (p<0.05) related to severity of the calcaneal fracture?? Operative (3) VS Nonoperative (15) result p<0.05) All patient with operative treatment (3) satisfied with outcome after treatment (100%), Non operative 8 from 15 patients satisfield with the outcome for conservative treatment (53,33%). Rate modified FADI score was 101, 77 ( 88 -114) Excellent (100-136)10 (55.6%) Good (90-99) 5 (27.8%) Satisfactory (<90)3 (16.7%) There were no correlation between patients demographic (age, sex, education) with FADI score and also patient satisfaction

  8. Discussion The long-term outcomes operative vs non operative  the small number of quantities Additional investigation  MVA worse result then fractures because of fall from high Consensus in the current literature regarding the optimal treatment fractures of the calcaneal (-)

  9. TERIMAKASIH

  10. References 1. Buckley RE, Meek RN. Comparison of open versus closed reduction of intra-articular calcaneal fractures: a matched cohort in workmen.JOrthop Trauma 1992;6:216-22. 2.Crosby LA, Fitzgibbons T. Computerized tomography scanning of acute intra-articular fractures of the calcaneus: a new classification system. J Bone Joint Surg [Am] 1990;72-A:852-9. 3.Heckman JD. Fractures and dislocations of the foot. In: Rockwood CA Jr, Green DP, Bucholz RW, eds. Fractures in adults. 3rd ed. Philadelphia, etc: JB Lippincott Co, 1991:175-89. 4.Miller ME. Surgical management of calcaneus fractures: indications and techniques. In: Greene WB, ed. AAOS Instructional Course Lectures. American Academy of Orthopaedic Surgeons, 1990;XXXIX:161-5. 5.Paley D, Hall H. Calcaneal fracture controversies: can we put Humpty Dumpty together again? OrthopClin North Am 1989;20:665-77. 6.Rowe CR, Sakellarides HT, Freeman PA, Sorbie C. Fractures of the oscalcis: a long-term follow-up of 146 patients. J Am Med Assoc 1963;184:920-3. 7.Sanders R, Fortin P, DiPasquale T, et al. The results of operative treatment of displaced intra-articular calcaneal fractures using a CT scan classification. In: Tscherne H, Schatzker J, ed.

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