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- W3023927211 abstract "Abstract Background This study aimed to determine whether bone density correlates with radiologic and clinical outcomes after screw fixation of displaced intra-articular calcaneal fractures (DIACF) with the sinus tarsi approach. Materials and methods We retrospectively evaluated 43 consecutive cases of unilateral DIACF between March 2015 and December 2017. Radiologic evaluations were performed using preoperative, postoperative, and last follow-up calcaneal lateral and axial radiographs. In all patients, preoperative CT scanning of both injured and uninjured calcaneus were performed at one scanning and dual x-ray absorptiometry (DXA) scans were obtained. Hounsfield unit (HU) measurement values were determined by placing an elliptical region of interest confined to the cancellous region of the uninjured calcaneus. Clinical outcomes were assessed at a minimum of 12 months postoperatively using Foot and Ankle Outcome Scores (FAOS). Results Mean HU values of the uninjured calcaneus significantly correlated with bone mineral density scores obtained from DXA scans of the lumbar and femur (Spearman ρ = 0.656 - 0.748; p Conclusion Decreased preoperative bone density significantly correlated with decreased Bohler's angle, widening of calcaneal width, and inferior short-term clinical outcomes after screw fixation of DIACF. By quantifying bone density using HU value in area where DXA cannot be performed, such foot bones, determining whether different fixation methods or systemic treatments can be tailored to bone density could help in optimizing clinical outcomes. Level of Evidence : Level III, Retrospective case series" @default.
- W3023927211 created "2020-05-13" @default.
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- W3023927211 date "2020-08-01" @default.
- W3023927211 modified "2023-09-29" @default.
- W3023927211 title "Bone density of the calcaneus correlates with radiologic and clinical outcomes after calcaneal fracture fixation" @default.
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- W3023927211 doi "https://doi.org/10.1016/j.injury.2020.03.063" @default.
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