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Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion

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 reconstructi...

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Autores principales: Lee, Hong Seop, Kim, Woo Jong, Park, Eun Seok, Kim, Jun Young, Kim, Young Hwan, Lee, Young Koo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352372/
https://www.ncbi.nlm.nih.gov/pubmed/30696419
http://dx.doi.org/10.1186/s12891-019-2419-1
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author Lee, Hong Seop
Kim, Woo Jong
Park, Eun Seok
Kim, Jun Young
Kim, Young Hwan
Lee, Young Koo
author_facet Lee, Hong Seop
Kim, Woo Jong
Park, Eun Seok
Kim, Jun Young
Kim, Young Hwan
Lee, Young Koo
author_sort Lee, Hong Seop
collection PubMed
description 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.
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spelling pubmed-63523722019-02-06 Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion Lee, Hong Seop Kim, Woo Jong Park, Eun Seok Kim, Jun Young Kim, Young Hwan Lee, Young Koo BMC Musculoskelet Disord Research Article 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. BioMed Central 2019-01-29 /pmc/articles/PMC6352372/ /pubmed/30696419 http://dx.doi.org/10.1186/s12891-019-2419-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lee, Hong Seop
Kim, Woo Jong
Park, Eun Seok
Kim, Jun Young
Kim, Young Hwan
Lee, Young Koo
Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
title Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
title_full Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
title_fullStr Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
title_full_unstemmed Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
title_short Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
title_sort mid-term follow-up results of calcaneal reconstruction for calcaneal malunion
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352372/
https://www.ncbi.nlm.nih.gov/pubmed/30696419
http://dx.doi.org/10.1186/s12891-019-2419-1
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