In a long-term follow-up we evaluated 40 @entity1 out of 55 (73%) with a subtalar fusion. The operations took place from 5/84 to 5/91. In all cases the indication for the fusion was a post-traumatic @entity625 after an intra-articular os calcis @entity174 . The evaluation of the overall results was carried out with three different scoring systems: a. The Hannover Scoring System. b. The Outcome-questionnaire, rating @entity1 's complaints and the functional status based on the severity-symptom scale and functional status described for @entity751 by Levine et al. c. The @entity922 ( @entity922 ) described by Kitaoka et al. The statistical evaluation was performed by analysis of variance (ANOVA). Level of significance was based on P = 0.05 and calculation of Pearson's correlation coefficient. The Os calcis @entity174 was the cause for the @entity625 in all 40 @entity1 (33 males and 7 females). The primary treatment of the calcaneal @entity174 was conservative (cons.) using a plaster in 23 @entity1 (57.5%), while 17 @entity1 (42.5%) underwent open reduction and plate fixation (op.). The interval between @entity130 and subtalar fusion averaged 3.5 years (3 months to 20 years). The interval between subtalar fusion and follow-up averaged 5.2 years (4-14 years). The mean age at the time of reexamination was 47 years (26-61 years). In the present study, complete @entity158 relief could be achieved in 21 (52.5%; 58% op., 50% cons.) @entity1 . A relevant restriction in the range of motion in the ankle joint was found in 26 (65%; 76% op., 58% cons.). In 23 @entity1 (62%; 65% op., 59% cons.) the radiological evaluation revealed a grade 1 degree @entity625 of the ankle joint, in the talonavicular joint in 17 @entity1 (42.5%; 41% op., 45% cons.), and in the calcaneo-cuboid joint in 14 @entity1 (35%; 47%., 27% cons.). The statistical analysis revealed a better outcome in the operative group compared with the conservative group, although the operated os calcis @entity174 in the majority were the more severe @entity174 types. In all evaluation systems a score between 61 and 69 points could be achieved with no significant difference between the operatively and conservatively treated groups and between the newly developed questionaire and the clinical-radiological scoring systems. For the questionaire this fulfills the requirements for a reliable outcome evaluation.

[Subtalar fusion after conservative or surgical treatment of XXXX . A comparison of long-term results].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity625 :: ('MESH:D001168', 'Disease') :: ['subtalar arthritis', 'arthritis'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity751 :: ('MESH:D013577', 'Disease') :: ['Carpaltunnel-syndrome'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity922 :: ('MESH:D013568', 'Disease') :: ['clinical rating system', 'CRS']
@entity174 :: (MESH:D050723,Disease) :: ['calcaneus fracture']
