POSTOPERATIVE EVALUATION OF INTRAARTICULAR CALCANEAL FRACTURES

Background: To evaluate the evolution of patients with intra-articular fracture of the calcaneus submitted to surgical treatment. Methods: This observational, prospective cohort study included patients aged 18-65 years with intra-articular calcaneal fractures treated surgically using the lateral approach technique and blocked calcaneal plaque. Image exams assessed Bohler and Gissane angles and joint congruence. Physical examinations measured ankle joint range of motion (ROM) and utilized the AOFAS and FAOS scales. Data were collected 2 and 6 months postoperatively. Results: Sixteen patients with a mean age of 45.2 years participated. Average Gissane and Bohler angles were 127.2 ± 10.9 and 24 ± 13.9, respectively. The AOFAS questionnaire score was 43.69 ± 17.59. FAOS scores for pain, other symptoms, daily living activity, sports and recreation, and quality of life were 15.69 ± 9.99; 10.56 ± 4.80; 25.00 ± 15.91; 13.63 ± 6.09; and 8.88 ± 4.82, respectively. A positive correlation was found between AOFAS total score and dorsiflexion (rs = 0.526; p = 0.036). Conclusions: Adequate dorsiflexion range of motion is related to higher AOFAS scores, and an inverse correlation exists between Bohler’s angle and pain, daily life activity, and other FAOS symptoms.