Lateral Decompression for Malunited Os Calcis Fractures

Braly, W. Grant; Bishop, John O.; Tullós, Hugh S.

doi:10.1177/107110078500600207

Cited by 49 publications

(26 citation statements)

References 16 publications

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“…1 The loss of calcaneal height and the widening of the calcaneus resulting from malunion cause the talus to transform into a banana talus, progress the change to the midfoot and forefoot, and lead to peroneal tendon pathology and thus pain. [2][3][4] Affected patients experience diffi culty in putting on their shoes and walk with a limping gait. 5,6 Subtalar arthrodesis is thought to be a good intervention for these patients because it induces subtalar osteoarthritic pain to subside.…”

Section: Figurementioning

confidence: 99%

Calcaneal Reconstruction for the Late Complication of Calcaneus Fracture

Young¹,

Lee²,

Lee³

et al. 2011

Orthopedics

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Calcaneal fracture is the most common fracture in the tarsal bones. Treatment is difficult because the patterns of fracture are various and complications occur frequently. The purpose of this study was to evaluate the clinical results of calcaneal reconstruction for chronic complications after calcaneal fracture. rom September 2001 to November 2004, calcaneal reconstruction was performed in 24 patients (25 feet). We reviewed 21 patients (22 feet) who could be followed up >2 years postoperatively. Patients who underwent subtalar arthrodesis and simple bone resection were excluded. Patients who underwent calcaneal sliding osteotomy were included. Nineteen men and 2 women ranged in age from 27 to 54 years (mean, 44.4 years). The mean interval between the first operation and reconstructive operation was 11.2 months (range, 3-31 months). The mean follow-up period after calcaneal reconstruction was 29.8 months (range, 24-38 months). Böhler angle, calcaneal pitch, and talocalcaneal height were checked pre- and postoperatively. The most common patient report was pain on the inferior aspect of the lateral malleolus (16 patients) and calcaneal tuberosity (3 patients). All the mean values of talocalcaneal height, calcaneal pitch, and Böhler angle improved, which was statistically significant. In the postoperative period, 10 patients were very satisfied, 9 were satisfied, and 3 were not satisfied. Although pain did not completely resolve, all patients were satisfied postoperatively.

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Section: Figurementioning

confidence: 99%

Calcaneal Reconstruction for the Late Complication of Calcaneus Fracture

Young¹,

Lee²,

Lee³

et al. 2011

Orthopedics

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“…Diese guten Ergebnisse konnten an unserem Patientengut bei der CT-gestützten Auswertung nicht erreicht werden. Die bei den überwiegend schweren Frakturen in 25 Fällen bestehenden Rückfuûverbreiterungen wiesen insgesamt 11mal ein laterales Impingementsyndrom auf, das durch die Implantatentfernung und in ausgewählten Fällen durch eine Partialresektion der lateralen Wand beseitigt werden konnte [5,23,25]. Die bei den überwiegend schweren Frakturen in 25 Fällen bestehenden Rückfuûverbreiterungen wiesen insgesamt 11mal ein laterales Impingementsyndrom auf, das durch die Implantatentfernung und in ausgewählten Fällen durch eine Partialresektion der lateralen Wand beseitigt werden konnte [5,23,25].…”

Section: Diskussionunclassified

Therapie der dislozierten Calcaneusgelenkfraktur mit der AO-Calcaneusplatte

Boack

Wichelhaus

Mittlmeier

et al. 1998

Chirurg

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patients with 71 displaced intraarticular calcaneal fractures were prospectively examined after an operative treatment using an extended lateral approach and the ASIF calcaneal plate followed by early functional postoperative treatment (mean follow-up 25 months, retrieval rate 96 %). To classify the type of fracture and to verify the results of reduction and of retention CT scans in the coronal and transverse plane were performed pre-and postoperatively and on the day of assessment. The Zwipp Score was used for clinical evaluation. After fractures with 5 to 8 points according to the calcaneal fracture scale, 97 % of the patients had an anatomical or near anatomical reduction of the posterior facet and the clinical outcome in 82 % of the patients was graded as good or excellent. In 70 % of patients with a fracture rated 9 to 10 points a good reduction was demonstrated and clinically there were 67 % good or excellent results. But in the fractures with 11 to 12 points, despite 40 % good reductions, the clinical outcome was graded as good in 10 % of the patients only. However, if the postoperative displacement of the posterior facet was more than 2 mm no patient had a good result independent of the type of fracture. Due to restoration of the geometry of the most comminuted fracture types and the immediate partial weight bearing secondary soft tissue problems could be minimized without any loss of articular reduction. Anatomical reduction and stable internal fixation together with adequate physical therapy are apparently preconditions but not a guarantee for a good clinical result after displaced calcaneal fractures.

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“…The diagnosis can be confirmed with CT scan [31] . Lateral calcaneal ostectomy should be considered if conservative treatment cannot relieve the symptoms [32][33][34] . Traditionally, lateral calcaneal ostectomy is performed as an open procedure.…”

Section: Discussionmentioning

confidence: 99%