We retrospectively compared 20 patients with displaced intra-articular
calcaneal fractures by clinical assessment and dynamic pedography. El
even were treated operatively, 9 conservatively. The purpose was to id
entify differences in post-traumatic gait performance and to correlate
the pedographic data to a clinical score to show its reliability. Twe
nty individuals without a history of foot injuries were used as a cont
rol group. Both groups had restricted motion in the subtalar joint, in
creased hindfoot and midfoot loading and decreased forefoot loading. F
urthermore, they showed prolonged contact phases and an impaired abili
ty to speed up gait during the toe-off phase. Load transfer from the h
indfoot to the forefoot showed typical distribution patterns. The oper
atively treated group showed better functional results with fewer subj
ective complaints.