DOI QR코드

DOI QR Code

Treatment of Calcaneal Fracture Malunion Using Lateral Exostectomy and Corrective Osteotomy: A Report of Three Cases

외측벽 절제술과 교정 절골술을 이용한 종골 부정유합의 치료: 3예 보고

  • Noh, Young Min (Department of Orthopedic Surgery, Sanbon Hospital, Wonkwang University School of Medicine) ;
  • Kim, Yu Mi (Department of Orthopedic Surgery, Sanbon Hospital, Wonkwang University School of Medicine) ;
  • Kim, Sang Yul (Department of Orthopedic Surgery, Sanbon Hospital, Wonkwang University School of Medicine)
  • 노영민 (원광대학교 의과대학 산본병원 정형외과학교실) ;
  • 김유미 (원광대학교 의과대학 산본병원 정형외과학교실) ;
  • 김상열 (원광대학교 의과대학 산본병원 정형외과학교실)
  • Received : 2015.05.11
  • Accepted : 2015.07.24
  • Published : 2015.09.15

Abstract

Inappropriate treatment for calcaneus fracture may result in malunion causing long-lasting pain and functional deficits. When such complications occur, the ideal principle of management is preserving congruence and motion of adjacent joints. For three patients with calcaneus fracture malunion, subtalar joint-preserving surgery using exostectomy and corrective osteotomy was performed, and satisfactory outcomes were achieved postoperatively.

Keywords

References

  1. Banerjee R, Saltzman C, Anderson RB, Nickisch F. Management of calcaneal malunion. J Am Acad Orthop Surg. 2011;19:27-36. https://doi.org/10.5435/00124635-201101000-00004
  2. Lim EV, Leung JP. Complications of intraarticular calcaneal fractures. Clin Orthop Relat Res. 2001;(391):7-16.
  3. Carr JB. Mechanism and pathoanatomy of the intraarticular calcaneal fracture. Clin Orthop Relat Res. 1993;(290):36-40.
  4. Yu GR, Hu SJ, Yang YF, Zhao HM, Zhang SM. Reconstruction of calcaneal fracture malunion with osteotomy and subtalar joint salvage: technique and outcomes. Foot Ankle Int. 2013;34:726-733. https://doi.org/10.1177/1071100713479766
  5. Aktuglu K, Aydogan U. The functional outcome of displaced intra- articular calcaneal fractures: a comparison between isolated cases and polytrauma patients. Foot Ankle Int. 2002;23:314-8. https://doi.org/10.1177/107110070202300404
  6. Mann RA, Baumgarten M. Subtalar fusion for isolated subtalar disorders. Preliminary report. Clin Orthop Relat Res. 1988; (226):260-5.
  7. Savory KM, Wülker N, Stukenborg C, Alfke D. Biomechanics of the hindfoot joints in response to degenerative hindfoot arthrodeses. Clin Biomech (Bristol, Avon). 1998;13:62-70. https://doi.org/10.1016/S0268-0033(97)00016-8
  8. Rammelt S, Grass R, Zwipp H. Joint-preserving osteotomy for malunited intra-articular calcaneal fractures. J Orthop Trauma. 2013;27:e234-8. https://doi.org/10.1097/BOT.0b013e318290ff07
  9. Chen YJ, Huang TJ, Hsu KY, Hsu RW, Chen CW. Subtalar distractional realignment arthrodesis with wedge bone grafting and lateral decompression for calcaneal malunion. J Trauma. 1998;45:729-37. https://doi.org/10.1097/00005373-199810000-00018
  10. Myerson M, Quill GE Jr. Late complications of fractures of the calcaneus. J Bone Joint Surg Am. 1993;75:331-41. https://doi.org/10.2106/00004623-199303000-00004