Surgical Management of Calcaneal Malunion

Abstract

Calcaneal malunion is a common complication after conservative treatment or incorrect surgical treatment of calcaneal fracture. The typical pathoanatomies of calcaneal malunion are subtalar joint incongruity, loss of calcaneal height, arch collapse, varus or valgus deformity of the calcaneus, heel widening and so on. Calcaneal malunion often needs to be treated surgically. The classification of calcaneal malunion and the detailed clinical and radiographical assessment play important roles for surgical option. The main surgical methods include in situ subtalar arthrodesis, reconstruction of calcaneal thalamus and subtalar arthrodesis, calcaneal osteotomy with subtalar arthrodesis, corrective calcaneal osteotomy without subtalar arthrodesis. Each option has its different indications, advantages and disadvantages. Thus, the surgical treatment should be individualised.

Geometric 3D analyses of the foot and ankle using weight-bearing and non weight-bearing cone-beam CT images: The new standard?

“…However, the added value of utilizing geometrical parameters measured in 3D instead of 2D equivalents is unclear. In daily surgical practice, the contralateral side is often used as reference in corrective surgery [14][15][16], although the symmetry is only confirmed from 2D radiographs [17] but not in 3D space. In could be of practical value if geometrical 2D or 3D parameters of the contralateral foot could serve as reference in diagnosis and corrective surgery.…”