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Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning

PURPOSE: Dorsal closing wedge calcaneal osteotomy (DCWCO) is indicated in patients with insertional tendinopathy of the calcaneal (Achilles) tendon. The Chauveaus-Liet’s (CL) angle is represented by the difference between the angle of verticalization (α) and morphological angle (β) of the calcaneus...

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Autores principales: Mazura, Matej, Goldman, Tomas, Stanislav, Popelka, Kachlik, David, Hromadka, Rastislav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9636787/
https://www.ncbi.nlm.nih.gov/pubmed/36335392
http://dx.doi.org/10.1186/s13018-022-03359-z
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author Mazura, Matej
Goldman, Tomas
Stanislav, Popelka
Kachlik, David
Hromadka, Rastislav
author_facet Mazura, Matej
Goldman, Tomas
Stanislav, Popelka
Kachlik, David
Hromadka, Rastislav
author_sort Mazura, Matej
collection PubMed
description PURPOSE: Dorsal closing wedge calcaneal osteotomy (DCWCO) is indicated in patients with insertional tendinopathy of the calcaneal (Achilles) tendon. The Chauveaus-Liet’s (CL) angle is represented by the difference between the angle of verticalization (α) and morphological angle (β) of the calcaneus (CL angle = α − β). The purpose of the study was to assess whether the DCWCO affects the Chauveaus-Liet’s angle. METHODS: The study included 12 patients indicated to DCWCO. Three directions of close wedge osteotomy were designed for each patient—horizontal, vertical and in the middle type of osteotomy and a virtual osteotomy was created in each of them in the ABAQUS system in cooperation with Czech Technical University. The most used directions of osteotomy according to the available literature were used. We evaluated α and β angles before and after osteotomy, changes of the length plantar aponeurosis and the elevation of distal insertional point of the calcaneal tendon. The changes of grades, median and standard deviation were observed. RESULTS: The change of the alfa angle was dependent on the direction of the osteotomy and the change of the beta angle was affected by the size of the osteotomy. The greatest elevation of the distal insertional point of the calcaneal tendon occurred in the horizontal type of the osteotomy. CONCLUSION: Our study shows that the more we want to reduce the tension in the calcaneal tendon, the more we have to perform an osteotomy horizontally. This study could serve as a preoperative guide for osteotomy planning.
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spelling pubmed-96367872022-11-06 Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning Mazura, Matej Goldman, Tomas Stanislav, Popelka Kachlik, David Hromadka, Rastislav J Orthop Surg Res Research Article PURPOSE: Dorsal closing wedge calcaneal osteotomy (DCWCO) is indicated in patients with insertional tendinopathy of the calcaneal (Achilles) tendon. The Chauveaus-Liet’s (CL) angle is represented by the difference between the angle of verticalization (α) and morphological angle (β) of the calcaneus (CL angle = α − β). The purpose of the study was to assess whether the DCWCO affects the Chauveaus-Liet’s angle. METHODS: The study included 12 patients indicated to DCWCO. Three directions of close wedge osteotomy were designed for each patient—horizontal, vertical and in the middle type of osteotomy and a virtual osteotomy was created in each of them in the ABAQUS system in cooperation with Czech Technical University. The most used directions of osteotomy according to the available literature were used. We evaluated α and β angles before and after osteotomy, changes of the length plantar aponeurosis and the elevation of distal insertional point of the calcaneal tendon. The changes of grades, median and standard deviation were observed. RESULTS: The change of the alfa angle was dependent on the direction of the osteotomy and the change of the beta angle was affected by the size of the osteotomy. The greatest elevation of the distal insertional point of the calcaneal tendon occurred in the horizontal type of the osteotomy. CONCLUSION: Our study shows that the more we want to reduce the tension in the calcaneal tendon, the more we have to perform an osteotomy horizontally. This study could serve as a preoperative guide for osteotomy planning. BioMed Central 2022-11-05 /pmc/articles/PMC9636787/ /pubmed/36335392 http://dx.doi.org/10.1186/s13018-022-03359-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Mazura, Matej
Goldman, Tomas
Stanislav, Popelka
Kachlik, David
Hromadka, Rastislav
Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning
title Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning
title_full Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning
title_fullStr Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning
title_full_unstemmed Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning
title_short Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning
title_sort calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9636787/
https://www.ncbi.nlm.nih.gov/pubmed/36335392
http://dx.doi.org/10.1186/s13018-022-03359-z
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