Review Article: Operative versus Non-Operative Treatment for Displaced Intra-Articular Calcaneal Fracture: A Meta-Analysis of Randomised Controlled Trials
Author(s) -
Meena Sanjay,
Gangary Shreesh Kumar,
Sharma Pankaj
Publication year - 2016
Publication title -
journal of orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 40
eISSN - 2309-4990
pISSN - 1022-5536
DOI - 10.1177/1602400328
Subject(s) - medicine , relative risk , meta analysis , calcaneal fracture , surgery , intra articular , randomized controlled trial , complication , calcaneus , confidence interval , osteoarthritis , alternative medicine , pathology
We reviewed 8 randomised controlled trials that compared operative and non-operative treatment for displaced intra-articular calcaneal fractures. Patients with operative treatment were more likely to resume pre-injury work (relative risk [RR]=0.60, p=0.04), had fewer problems when wearing shoes (RR=0.42, p=0.0004), and had a higher physical component summary score of SF-36 (difference in means=6.75, p<0.0001) but a higher complication rate (RR=1.74, p=0.0005).
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