Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
- Abstract
- BACKGROUND: We hypothesized that calcaneal reconstruction can relieve chronic pain due to calcaneal malunion. We report the mid-term follow-up results of calcaneal reconstruction for calcaneal malunion. METHODS: We reviewed the records of 10 male patients (10 ft) who underwent calcaneal reconstruction for calcaneal malunion between January 2009 and July 2014 at the mid-term follow-up. Talocalcaneal height and angle, calcaneal pitch, calcaneal width, Böhler angle, Stephens classification, and Zwipp classification were evaluated by three orthopedic doctors at each visit (pre-reconstruction, post-reconstruction, and at the last follow-up). RESULTS: The mean follow-up period was 67.1 months (range, 48-101 months). The sites of pain before reconstruction were lateral aspect (4 patients), plantar aspect (3 patients), diffuse pain (2 patients), and anterior aspect (1 patient). There was a significant difference in talocalcaneal height, talocalcaneal angle, calcaneal pitch, calcaneal width, and Böhler angle before and after reconstruction (p< 0.05). There was no significant difference between reconstruction and the last follow-up. Radiological measurement agreement was calculated to be moderate to strong (intraclass correlation coefficient: 0.659-0.988). Mean American Orthopedic Foot & Ankle Society Ankle and Hindfoot score improved from 66.50 ± 9.37 pre-reconstruction to 80.30 ± 8.52 at the last follow-up (p < 0.05). The mean visual analog scale score improved from 8.60 ± 1.43 before reconstruction to 3.40 ± 0.84 at the last follow-up (p < 0.05). Most patients were satisfied with the outcome postoperatively. CONCLUSIONS: Our results showed substantial improvement in the clinical and radiological outcomes after calcaneal reconstruction of calcaneal malunion. This outcome was maintained until the mid-term follow-up. Therefore, calcaneal reconstruction may be a good option for the treatment of chronic pain caused by the malunion of a calcaneal fracture without severe subtalar arthritis. Further prospective studies are needed to test this theory. LEVEL OF EVIDENCE: Level IV, Retrospective Case Series.
- All Author(s)
- H. S. Lee
; W. J. Kim
; E. S. Park
; J. Y. Kim
; Y. H. Kim
; Y. K. Lee
- Issued Date
- 2019
- Type
- Article
- Keyword
- Calcaneus fracture; Calcaneus reconstruction; Mid-term follow-up; Hindfoot
- ISSN
- 1471-2474
- Citation Title
- BMC Musculoskeletal Disorders
- Citation Volume
- 20
- Citation Start Page
- 43
- Citation End Page
- 43
- Language(ISO)
- eng
- DOI
- 10.1186/s12891-019-2419-1
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1682
- 공개 및 라이선스
-
- 파일 목록
-
Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.