Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Ophthalmic Surgery
  •  Otolaryngology - Head and Neck Surgery
  •  Plastic Surgery
  •  Gastroenterological Surgery
  •  Emergency Surgery
  •  Transplant Surgery
  •  Cardiovascular Surgery
  •  General Surgery


Citation: Clin Surg. 2021;6(1):3171.Research Article | Open Access

The Effect of Calcaneal Fractures on Functional and Economic Outcome in the Industrial Patient

Michael A Scherer*

Department of Trauma and Orthopedic Surgery, Helios Amper-Klinikum Dachau, Germany

*Correspondance to: Michael A Scherer 

 PDF  Full Text DOI: 10.25107/2474-1647.3171


Background: In the working population calcaneal fractures lead to a poor functional outcome frequently followed by a distinct economic impact. The purpose of this study was to investigate on the economic and functional outcome following a calcaneal fracture among the industrial patient population. Methods: A retrospective study was conducted on industrial patients who sustained a calcaneal fracture. Health related costs were covered by the Workers? Compensation Board. Chart reviews were performed and patients were evaluated clinically and radiographically. Outcome measures included the AOFAS Hindfoot questionnaire, the Short Form 36, time off work, impairment rate and cost. Results: 85 patients with 93 fractures were included. After an average follow-up of 21 months the mean total AOFAS was 58 points, SF-36 56 points, time off work 208 days, impairment rate 12% and inpatient/outpatient cost 6.172/22.350 euro per patient. Regardless of fracture type nonsurgical treatment lead to a significantly better AOFAS score, superior SF-36 score, significantly less time lost from work, lower impairment rate and less cost when compared to surgical treatment. The comparison after stratification of fractures displayed better outcome in all parameters for any extraarticular fracture when treatment was conservative. Intraarticular fractures resulted in better outcome scores (AOFAS, SF-36) but worse socioeconomic parameters when treated surgically. Conclusion: In the industrial population calcaneal fractures have a perspicuous physical, mental and socioeconomic impact. Fractures not involving the joint lead to a better outcome when treatment is conservative, while intraarticular fractures result in superior functional outcome, but worse socioeconomic parameters when treatment is surgical.


Calcaneal fracture; Industrial patient; Workers compensation

Cite the article

Scherer MA. The Effect of Calcaneal Fractures on Functional and Economic Outcome in the Industrial Patient. Clin Surg. 2021; 6: 3171..

Search Our Journal

Journal Indexed In

Articles in PubMed

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Satisfactory Outcome with Low Activated Clotting Time (<150 Seconds) in Extracorporeal Membrane Oxygenation
 Abstract  PDF  Full Text
Prognosis of Directional Atherectomy Combined with Drug-Coated Balloon Angioplasty versus Bare Nitinol Stent Angioplasty for Femoropopliteal Arteriosclerosis Obliterans: A Retrospective Cohort Study
 Abstract  PDF  Full Text
View More...