- Discussion:
- in the study by
Ceccarelli et al, the authors compared surgical and non-surgical treatment of 46 calcaneal
fractures in children aged 3-17 years;
- patients were divided into: Group A ranging 3-14 years and Group B 15-17 years, and classified
according to surgical or non-surgical treatment; (mean follow-up was 22.8 years);
- extra-articular fractures were treated non-surgically and all results were satisfactory;
- results of articular fractures in Group A were satisfactory regardless of the type of treatment;
- articular fractures surgically treated in group B were satisfactory, and those non-surgically treated were mainly poor;
- extra-articular fractures can be treated non-surgically.
- articular fractures in skeletally immature children can be treated non-surgically; conversely, those
in children with skeletal maturity must be treated surgically;
- in the report by Mora et al, the authors reviewed 22 skeletally immature patients with 23 calcaneal fractures;
- 18 (78%) of these fractures were intraarticular and five (22%) were extraarticular;
- 9 patients were followed for an average of 4.4 years;
- of these 9 fractures, 8 were treated non-operatively and one was treated with ORIF;
- 7 of the 9 patients were free of pain, had unrestricted foot function, and possessed no
apparent gait abnormalities;
- the authors point out that the immature talus and calcaneus has a superior capacity to remodel;
Calcaneus fracture in the child.
Fractures of the calcaneal apophysis.
Good prognosis after calcaneal fracture in childhood.
Fractures of the os calcis in children.
Calcaneal fractures in children. An evaluation of the nature of the injury in 56 children.
Surgical versus non-surgical treatment of calcaneal fractures in children: a long-term results comparative study.
Ceccarelli F, Faldini C, Piras F, Giannini S.
Foot Ankle Int 2000 Oct;21(10):825-32 Related Articles, Books
Pediatric calcaneal fractures.
Mora S et al. Foot Ankle Int 2001 Jun;22(6):462-70
