- 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;
Surgical versus non-surgical treatment of calcaneal fractures in children: a long-term results comparative study.
Pediatric calcaneal fractures.
Calcaneus fracture in the child.