Management of Calcaneal Malunion

Banerjee, Rahul; Saltzman, Charles L.; Anderson, Robert B.; Nickisch, Florian

doi:10.5435/00124635-201101000-00004

Cited by 50 publications

(57 citation statements)

References 31 publications

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“…incorrect positioning of the foot, leading to nonstandard lateral or axial views of the calcaneus) during the operation. 28 Malreduction can easily lead to calcaneal malunion. 28 Although we calculated the incidence rate for malreduction as being only 0.8%, secondary surgery is always needed, including the removal of implants and re-ORIF unless the symptoms can be managed by nonsurgical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…28 Malreduction can easily lead to calcaneal malunion. 28 Although we calculated the incidence rate for malreduction as being only 0.8%, secondary surgery is always needed, including the removal of implants and re-ORIF unless the symptoms can be managed by nonsurgical treatment. 17 The incidence of implant problems can be reduced by using implants that are smaller in size and thinner, compared with standard implants: these smaller implants can be placed through smaller incisions.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative complications after closed calcaneus fracture treated by open reduction and internal fixation: A review

Pang

Chen

et al. 2013

J Int Med Res

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Objective: To review postoperative complications reported after closed calcaneus fracture treated by open reduction and internal fixation (ORIF). Methods: Postoperative complications reported in the literature between 1995 and 2012 were identified. Papers were retrieved from publicly available databases and included in this study if they met the following criteria: clinical research of cases of closed calcaneus fracture treated by ORIF; 10 cases; detailed information about complications, treatment and follow up. Results: Twenty-one clinical reports were analysed (2046 cases). Reported complications (and incidence rates) were: infection and skin flap necrosis (13.6%); neurovascular injury (2.8%); posttraumatic arthritis (1.2%); malreduction/implant problems (0.8%); nonunion (0.1%). Conclusions: Postoperative complications after closed calcaneus fracture are common clinical problems that cannot always be avoided. They can even be life altering, due to the requirement for long-term treatment or amputation and their economic impact on the patient. Complications should be diagnosed and treated promptly, to achieve satisfactory outcomes. Nonsurgical treatment (e.g. local wound care, drugs or physical therapy) can be attempted. If such measures fail, surgical treatment (e.g. debridement, skin flap transplantation, implant removal, re-opening of the reduction and internal fixation or subtalar joint arthrodesis) should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Postoperative complications after closed calcaneus fracture treated by open reduction and internal fixation: A review

Pang

Chen

et al. 2013

J Int Med Res

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“…2,[6][7][8][9][10][15][16][17][18] Open subtalar joint arthrodesis is particularly useful in treatment of calcaneus fracture malunion; in addition to posttraumatic arthritis caused by articular cartilage injury, these injuries often heal with loss of calcaneal height, varus, heel widening with subsequent calcaneal-fibular impingement and peroneal tendon and sural nerve irritation, anterior ankle impingement caused by loss of normal talus declination, and calcanealcuboid joint impingement. 5,9 Surgical techniques to address these sequelae that are not possible with an isolated arthroscopic approach include decompression of the lateral wall of the calcaneus, distraction bone-block arthrodesis of the subtalar joint to restore calcaneal height, bone grafting to address large amounts of bone loss, and corrective osteotomies, all of which can be performed in concert with an open subtalar arthrodesis (Fig. 3).…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

Subtalar Joint Arthrodesis

Roster

Kreulen

Giza

2015

Foot and Ankle Clinics

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“…Subfibular or posterolateral ankle pain can be due to peroneal tendons or impingement between the calcaneus and talus and/ or fibula. This may be seen in the aftermath of calcaneus fractures 7 .…”

Section: Activitiesmentioning

confidence: 99%