Is structural hydroxyapatite tricalcium-phosphate graft or tricortical iliac crest autograft better for calcaneal lengthening osteotomy in childhood?

Martinkevich, Polina; Rahbek, Ole; Stilling, Maiken; Pedersen, Lars Kjelsberg; Gottliebsen, Martin; Søballe, Kjeld; Möller‐Madsen, Bjarne

doi:10.1302/0301-620x.98b11.bjj-2016-0095.r1

Cited by 9 publications

(6 citation statements)

References 27 publications

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“…A visual analogue scale score was used to differentiate between the pain at the donor site and that at the recipient site, and a positive correlation was established between the measurements. Pain from autograft harvest was more intense in patients who underwent flatfoot surgery than in those who underwent other corrective osteotomies [ 20 , 43 ]. In our series, there was no graft collapse, recurrence of flatfoot, and no complaints of donor site pain at the final follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Calcaneal lengthening using ipsilateral fibula autograft in the treatment of symptomatic pes valgus in adolescents

Lai

Wang

Chang

et al. 2021

BMC Musculoskelet Disord

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Background Evans calcaneal lengthening osteotomy is used to treat symptomatic flexible flatfoot when conservative treatment fails. Grafts such as autologous iliac bone grafts, allografts, and xenografts are implanted at the osteotomy site to lengthen the lateral column of the hindfoot. This study aimed to present the outcomes of an autologous mid-fibula bone graft used for calcaneal lengthening in symptomatic pes valgus in adolescents. Methods We retrospectively examined 23 ft of 13 adolescents who underwent surgery between July 2014 and January 2018. The radiological and clinical outcomes (American Orthopaedic Foot and Ankle Society ankle-hindfoot scale scores) were assessed during a mean follow-up of 49.7 (range, 30.9–73.4) months. The mean distance of the lengthening site was measured to evaluate graft sinking or collapse. The Goldberg scoring system was used to determine the degree of union at the donor and recipient sites. Results The calcaneal pitch and the anteroposterior and lateral talo-first metatarsal (Meary) angles showed significant correction, from 14.4 to 19.6 (p < 0.001), and from 14.5 to 4.6 (p < 0.001) and 13.5 to 8.5 (p < 0.001), respectively. The mean distance of the lengthening site showed no significant change (p = 0.203), suggesting no graft sinking or postoperative collapse. The lateral distal tibial angle showed no significant difference (p = 0.398), suggesting no postoperative ankle valgus changes. Healing of the recipient and donor sites occurred in 23 and 21 ft, respectively. The American Orthopaedic Foot and Ankle Society ankle-hindfoot scores improved significantly, from 68.0 to 98.5 (p < 0.001). Conclusions Evans calcaneal lengthening using an ipsilateral mid-fibula bone autograft resulted in significant improvement in clinical and radiological outcomes without ankle valgus deformity. Hence, it could be a treatment option for lateral column calcaneal lengthening in adolescents.

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Section: Discussionmentioning

confidence: 99%

“…The mean distance (MD) of lengthening was defined by the following equation: MD = (α + β)/2. Greater MD shortening may indicate graft collapse or graft sinking into the calcaneus [ 10 , 20 ].…”

Section: Methodsmentioning

confidence: 99%

Calcaneal lengthening using ipsilateral fibula autograft in the treatment of symptomatic pes valgus in adolescents

Lai

Wang

Chang

et al. 2021

BMC Musculoskelet Disord

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“…The study evaluated 10 paediatric patients (10 feet) at a planned onevisit follow-up one year after surgery with a CLO. The study was nested within the RCT AUTO/HATCP study (ClinicalTrials.gov NCT01770574) 7 . The study was registered within the Danish Data Protection Agency (J.…”

Section: Designmentioning

confidence: 99%

“…We assumed that the osteotomy was stable one year after surgery; however we provide RSA data from the osteotomy as verification of no *GMFCS level 1. inducible displacement upon weight-bearing, and thus document that any recorded motion in the CCJ was not due to instabilty in the osteotomy, but occurred within the CCJ. The analysis criteria included a condition number of the markermodels of maximum 350 6,7 , a minimum of three markers within each marker-model throughout all scenes, and a rigid body error threshold of maximum 0.5 mm according to the standard settings in the analysis software. Repeatability/precision of the RSA measurements, assessed by double-examinations, is expressed as a coefficient of repeatability, CR = ±1.96*SD diff .…”

Section: Rsa Analysis and Bone Marker-modelsmentioning

confidence: 99%

Calcaneal cuboid joint motion and osteotomy stability in children one year after calcaneal lengthening osteotomy

Martinkevich

Rahbek

Möller‐Madsen

et al. 2020

Journal of Orthopaedics

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“…Both TCP graft and autograft are grafts of choice for Anterior cervical discectomy with titanium cage fusion procedure. 10 The alvolar bone graft in RSCM gives excellent results although some disadvantages such as pain and scar in the donor site, long length of stay for post-operative care, long mobilization time. We advise using TCP graft for alveolar bone grafting due its excellent results and lower the morbidity which will make more benefit for the patient.…”

Section: Discussionmentioning

confidence: 99%

Cancellous Bone Versus Tricalcium Phospate (TCP) For Bone Grafting: A Literature Review And Case Report Of Alveolar Bone Grafting In Cipto Mangunkusumo Hospital

Maulana¹,

Primadian²,

Pancawati³

et al. 2018

J Plast Rekons

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Background: In the last decade, there are various methods of bone grafting in plastic surgery. Cancellous bone is more often used as bone graft than cortical bone due to its high osteoconductivity and osteogenic capability. The synthetic materials for bone graft such as tricalcium phospate (TCP) and hydroxy-apatite can be use as new alternative for bone grafting surgery. Methods: The PubMed® databases were searched using the terms: ‘bone graft OR bone grafting’ AND ‘cancellous bone OR iliac crest OR tibia’ AND ‘tricalcium phospate OR tricalciumphospate OR tri calcium phospate’, restricted to English language, and to a publication period from January 2010 to January 2017. The inclusion criteria were any kind of research paper that compared the utility of TCP synthetic graft and autograft as a bone graft. Results: Out of 139 selected studies, only 8 met the inclusion criteria. In 6 publications TCP graft has similar outcome and in 1 publication have a better result in reducing post operative complication. Conclusion: TCP graft can be used as substitution for autograft in particular clinical conditions and surgical methods.

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Is structural hydroxyapatite tricalcium-phosphate graft or tricortical iliac crest autograft better for calcaneal lengthening osteotomy in childhood?

Cited by 9 publications

References 27 publications

Calcaneal lengthening using ipsilateral fibula autograft in the treatment of symptomatic pes valgus in adolescents

Calcaneal lengthening using ipsilateral fibula autograft in the treatment of symptomatic pes valgus in adolescents

Calcaneal cuboid joint motion and osteotomy stability in children one year after calcaneal lengthening osteotomy

Cancellous Bone Versus Tricalcium Phospate (TCP) For Bone Grafting: A Literature Review And Case Report Of Alveolar Bone Grafting In Cipto Mangunkusumo Hospital

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