Operative Compared with Nonoperative Treatment of Displaced Intra-articular Calcaneal Fractures

Author summary Four hundred 24-four patients with 471 displaced intraarticular calcaneal fractures were randomized to receive either open reduction and internal fixation (ORIF) or nonoperative care. Satisfaction was evaluated based on short form-36 and visual analog scale scores. No statistically significant differences were reported in either SF-36 or VAS scores following ORIF versus conservative treatment. However, regardless of treatment type, patients receiving Workers' Compensation scored significantly lower on both assessments than those who were not receiving Workers' Compensation.