Return-to-sports after minimally invasive stabilization of intra-articular calcaneal fractures

Martin Bischofreiter, Werner Litzlbauer, Franziska Breulmann, Harald Kindermann, Christian Rodemund, Georg Mattiassich

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Background Evaluation of different factors in patient quality of life after minimally invasive stabilization of intra-articular calcaneal fractures, including the return-to-sports rate. Patients and Methods Patients with minimally invasive stabilization of intra-articular calcaneal fractures were collected from the database of a Level I trauma center and evaluated in a retrospective and explorative way. The clinical and radiological examination have been done immediately after the operation, after 2 and 6 weeks postoperative and after a minimum follow-up of 2 years. Clinical and radiological examination was performed by applying the American Orthopedic Foot and Ankle Society hindfoot scale score (AOFAS), 36-item Short Form Health Survey (SF-36), the Tegner Activity Scale, the Foot and Ankle Outcome Score (FAOS) and with a questionnaire about pre- and postoperative engagement in sport and recreational activities. Results Fourty-nine patients with an isolated uni-lateral fracture of the calcaneus who fulfilled all inclusion criteria were assessed. Fourty-two of them were male and 24 were under the age of 50 years. No statistically significant differences were noted between Sanders I/II and Sanders III/IV in terms of SF-36, AOFAS, FAOS or Tegner-scale. A less satisfying result was noticed in Sanders III/IV patients. General health, pain in FAOS, physical functioning and pain in SF-36 were strongly dependent on Tegner score values. Twenty-nine percent of our study population changed sport activities after injury, whereas 22 percent stopped all kinds of sports. Consequently, our overall return-to-sport rate was 78 percent. Conclusion Clinical results including different scores and quality of life parameters in our study population were satisfying. About 80 percent of patients could return to sports, but there are still many patients that were not able to perform sports and physical activities on the same level as before.

Translated title of the contribution„Return-to-sports“ nach minimal invasiver Stabilisierung von intraartikulären Kalkaneusfrakturen
Original languageEnglish
Pages (from-to)100-110
Number of pages11
Issue number2
Early online date28 Mar 2022
Publication statusPublished - 2 Jun 2022


  • Ankle Injuries
  • Calcaneus/injuries
  • Female
  • Foot Injuries/surgery
  • Fracture Fixation, Internal/methods
  • Fractures, Bone/surgery
  • Humans
  • Intra-Articular Fractures/diagnostic imaging
  • Knee Injuries
  • Male
  • Middle Aged
  • Pain
  • Quality of Life
  • Retrospective Studies
  • Return to Sport
  • Treatment Outcome
  • calcaneus
  • return to sport
  • intraarticular fractures
  • minimal invasive


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