Comparative Results of Percutaneous Calcaneal Osteotomy in Correction of Hindfoot Deformities.
Foot Ankle Int
; 40(3): 276-281, 2019 Mar.
Article
in En
| MEDLINE
| ID: mdl-30413133
ABSTRACT
BACKGROUND:
Calcaneal osteotomies are often required in the correction of hindfoot deformities. The traditional open techniques, which include a lateral or oblique incision, are occasionally associated with wound healing problems and neurovascular injury.METHODS:
A total of 122 consecutive patients who underwent a calcaneal osteotomy for hindfoot realignment treatment were included. Fifty-eight patients were operated using an open incision technique and 64 patients (66 feet) using a percutaneous technique. Clinical and radiologic assessments were performed preoperatively, at 6 weeks, and 1 year postoperatively.RESULTS:
The American Orthopaedic Foot & Ankle Society scale scores and visual analog scale pain scores improved in both groups postoperatively. The difference between the groups was not significant. The results of the radiologic measurements pre- and postoperatively were not significantly different. No pseudarthrosis occurred in either group. The comparison of both groups showed a significantly lower risk for wound healing problems in the percutaneous group. The hospitalization time was significantly shorter in the percutaneous group.CONCLUSION:
Because of the excellent results with the percutaneous calcaneal osteotomy, the authors feel encouraged to establish this procedure as a standard technique for calcaneus osteotomy, especially patients at high risk for wound healing problems. LEVEL OF EVIDENCE Level III, comparative series.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Osteotomy
/
Foot Deformities
/
Calcaneus
Type of study:
Diagnostic_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Child
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Female
/
Humans
/
Male
/
Middle aged
Language:
En
Year:
2019
Type:
Article